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Search › California › Addiction (Substance Use Disorder) Counselor

Blake Shupe, AOD COUNSELOR

NPI 1609359090 · on the registry since 2018

Practice

Address
201 Brush St
Ukiah, CA 95482
Phone
(707) 462-6290
Organisation at this address
Ford Street Project
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California