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SCOTT WALTER BLAKE SUDPT
NPI 1710768577
Counselor - Addiction (Substance Use Disorder) in Shelton, WA

Active since October 09, 2023
235 S 3RD ST, SHELTON, WA 98584(360) 426-0890 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Walter Blake Sudpt NPPES

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

SCOTT WALTER BLAKE SUDPT (NPI 1710768577) is an individual addiction (substance use disorder) provider in Shelton, Washington, licensed in Washington (61479679) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1710768577
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSCOTT WALTER BLAKECredential: SUDPT
Location Address235 S 3RD STShelton, WA 98584-2255
Mailing Address15838 104th Ave SeYelm, WA 98597-9567 · (585) 219-3157
Phone(360) 426-0890
Sole ProprietorNo
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1710768577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 61479679
235 S 3RD ST, Shelton, WA 98584
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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.

PATRICK WESSELLS
Case Manager/Care Coordinator
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
THERESA RICHARDS CDP
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
ELIZABETH JONES LMHCA
Counselor (Mental Health)
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
BRADLEY LAWRENCE AUSTIN SUDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
MS. JENNIFER KRISTINE CASTANETO CDP
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 584-5803
TAWNEE MARIE BARNES SUDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
CHRISTINA BOND CDPT
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890
TIFFANY MCCOY
Counselor (Addiction (Substance Use Disorder))
235 S 3RD ST
SHELTON, WA 98584
Mason County (360) 426-0890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Blake's NPI number?

The NPI number for Scott Blake is 1710768577. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Scott Blake located?

Scott Blake practices at 235 S 3rd St, Shelton, WA 98584. The listed phone number is (360) 426-0890.

What is Scott Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Blake was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.