Blake Eynon
Counselor in Bremerton, WA. Individual provider (NPI-1).
NPI number1154045003
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1154045003
- Entity type
- Individual (NPI-1)
- Name
- Blake Eynon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CG61366484 | WA | Yes |
Other names
- Blake Bynum (Former Name)
Practice location
5610 Kitsap Way Ste 320Bremerton, WA 98312-2266
Phone 360-792-2020
Mailing address
5610 Kitsap Way Ste 320Bremerton, WA 98312-2266
Phone 360-792-2020
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