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Individual

DAVID C BLUM

Active
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Individual

DAVID C BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBA, SUDPT

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
61337108
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61557487
WA

Other

Enumeration date
08/23/2022
Last updated
11/26/2024
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