DOREEN BLAKE LPC, CDC1
NPI 1639604655
Counselor - Professional in Kotzebue, AK

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since April 27, 2017

733 2ND AVENUE, KOTZEBUE, AK 99752(907) 442-7640(907) 442-7749 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2020, Apr 27, 2017 (2 updates tracked since 2017).

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About Doreen Blake Lpc, Cdc1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOREEN BLAKE LPC, CDC1 (NPI 1639604655) is an individual professional provider in Kotzebue, Alaska, licensed in Alaska (153055) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1639604655

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDOREEN BLAKECredential: LPC, CDC1

Location Address733 2ND AVENUEKotzebue, AK 99752-1453

Mailing AddressPo Box 256Kotzebue, AK 99752-0256

Phone(907) 442-7640

Fax(907) 442-7749

Sole ProprietorYes

Enumeration DateApril 27, 2017

Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration

NPPES CertifiedMarch 12, 2020

✔ NPI 1639604655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AK · 153055

733 2ND AVENUE, Kotzebue, AK 99752

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA HUNT

Counselor (Addiction (Substance Use Disorder))