Blalock, Bree Ana
Blalock, Bree Ana is an sole proprietor health care provider with primary practice located at 1601 E 4Th Plain Blvd Bldg 17 , Vancouver WA 98661-3717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blalock, Bree Ana can be contacted via phone (360) 397-8246.Contact Information
Primary practice address
1601 E 4Th Plain Blvd Bldg 17
Vancouver WA 98661-3717
Phone: (360) 397-8246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CG61055353 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60417920 | Washington |
Profile Details
| NPI number | 1922680545 |
|---|---|
| LBN Legal business name | Blalock, Bree Ana |
| Credentials | SUDP, MHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2021 |
| Last updated | Sep 1st, 2021 - about 5 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.
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