BLAKE BARNEY

BLACKFOOT, ID
NPI1861835597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
-- BLAKE BARNEY MS, ACADC
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
Mailing Address
-- BLAKE BARNEY MS, ACADC
325 PEARL ST
POCATELLO, ID 83201-3520
Phone number: 208-569-6799
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