BLAKE M DUNHAM

VALLEJO, CA
NPI1164885380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  8159-R)
Enumeration Date2016-04-04
Last Update Date2016-06-07
Business Address
-- BLAKE M DUNHAM
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
Mailing Address
-- BLAKE M DUNHAM
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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