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1861835597
BLAKE BARNEY
BLACKFOOT, ID
NPI
1861835597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-11
Last Update Date
2013-04-11
Business Address
-- BLAKE BARNEY MS, ACADC
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
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Mailing Address
-- BLAKE BARNEY MS, ACADC
325 PEARL ST
POCATELLO, ID 83201-3520
Phone number: 208-569-6799
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