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Individual

ALEXANDRIA NICOLE BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
5620 NE 59TH WAY, VANCOUVER, WA 98661-2145
(360) 936-1975

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WA

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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