Brenda Blake-Johnson
Addiction Counselor (Substance Use Disorder)
2423 W Dunlap Ave Ste 140
Phoenix
, Arizona 85021-5818
Brenda Blake-Johnson
Addiction Counselor (Substance Use Disorder)
2423 W Dunlap Ave Ste 140
Phoenix
, Arizona 85021-5818
(602) 279-5390
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Brenda Blake-Johnson
- 4041 N Central Ave Bldg C
- Phoenix, AZ
- Zip : 85012-3313
- Fax : (602) 279-5390
- Phone : (602) 279-5262
Second Address
- Brenda Blake-Johnson
- 2423 W Dunlap Ave Ste 140
- Phoenix, AZ
- Zip : 85021-5818
- Fax : (602) 279-5361
- Phone : (602) 279-5351
Reviews
FAQs
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Is Brenda Blake-Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003408808 |
|---|---|
| Provider Name | Brenda Blake-Johnson |
| First Address | Phoenix, AZ 85012-3313 |
| Second Address | Phoenix, AZ 85021-5818 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.