ROBERT E BLAKE

SAN DIEGO, CA
NPI1972794212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
MR. ROBERT E BLAKE
3969 4TH AVE STE 203
SAN DIEGO, CA 92103-3165
Phone number: 619-692-0441
Mailing Address
MR. ROBERT E BLAKE
3969 4TH AVE STE 203
SAN DIEGO, CA 92103-3165
Phone number: 619-692-0441
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