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Individual
DR. EDDIE LEE BLAKES JR.
Active
Individual
DR. EDDIE LEE BLAKES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DBH, LIAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LIAC-155298
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LIAC-155298
AZ
101YM0800X
Mental Health Counselor
Primary
LIAC-155298
AZ
Other
Enumeration date
09/18/2020
Last updated
04/29/2025
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