Individual
MR. STEPHEN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
1221 FRASER ST STE E101, BELLINGHAM, WA 98229-5844
(360) 714-8180
(360) 715-2915
Mailing address
1221 FRASER ST STE E101, BELLINGHAM, WA 98229-5844
(360) 714-8180
(360) 715-2915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61167092
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP61167092
SUBSTANCE USE DISORDER PROFESSIONAL
WA
Enumeration date
02/24/2022
Last updated
02/24/2022
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