Individual
BLAKE ANTHONY SPATARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7040 LAREDO ST STE K, LAS VEGAS, NV 89117-3044
(702) 748-7597
(702) 829-6249
Mailing address
7040 LAREDO ST STE K, LAS VEGAS, NV 89117-3044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2019
Last updated
08/08/2025
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