Individual
BLAKE BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ACADC
Contact information
Practice address
1309 CAMAS ST, BLACKFOOT, ID 83221-3060
(208) 782-0675
Mailing address
325 PEARL ST, POCATELLO, ID 83201-3520
(208) 569-6799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ID
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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