Individual
DELLA REA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LADC 1
Contact information
Practice address
13 BARRINGTON DR, SPRINGFIELD, MA 01129
(413) 348-3452
Mailing address
13 BARRINGTON DR, SPRINGFIELD, MA 01129-1455
(413) 348-3452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18921
MA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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