Blake Andrew Shupe, AOD COUNSELOR is an addiction (substance use disorder) counselor in Ukiah, CA. Blake Andrew Shupe, AOD COUNSELOR NPI is 1609359090. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
201 BRUSH ST
UKIAH, CA
ZIP 95482-424
Phone: (707) 462-6290
The enumeration date for this NPI number is 9/11/2018 and was last updated on 9/11/2018.