Blake, Leslie L
Blake, Leslie L is an individual health care provider with primary practice located at 1603 E Illinois St , Bellingham WA 98226-3644. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blake, Leslie L can be contacted via phone (360) 647-4266.Contact Information
Primary practice address
1603 E Illinois St
Bellingham WA 98226-3644
Phone: (360) 647-4266
Fax: (360) 647-6057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Washington |
Profile Details
| NPI number | 1740336056 |
|---|---|
| LBN Legal business name | Blake, Leslie L |
| Credentials | BS, CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740336056 | NPPES |
| Washington | MEDICAID | 1991660 |
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