Individual
DAVID C BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, SUDPT
Contact information
Practice address
1956 NE KRESKY AVE, CHEHALIS, WA 98532-2307
(360) 740-4380
(360) 740-1877
Mailing address
PO BOX 59, CHEHALIS, WA 98532-0059
(360) 740-4380
(360) 740-1877
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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