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Individual
MR. CODY RYAN BLAIR
Active
Individual
MR. CODY RYAN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHCM 2, MA, MAT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1376254755
CA
171M00000X
Case Manager/Care Coordinator
Primary
318652
OK
Other
Enumeration date
10/25/2023
Last updated
01/22/2026
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