Search › California › 101YA0400X

William Blake, CADC-I, C. HT

NPI 1083462626 · on the registry since 2024 · sole proprietor

Practice

Address
1562 E Orange Grove Blvd
Pasadena, CA 91104
Phone
(318) 664-0742

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California