Brenda Blake-johnson, - Counselor in Phoenix, AZ

Brenda Blake-johnson, is a Counselor - Addiction (substance Use Disorder) based in Phoenix, Arizona. Brenda Blake-johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is 2423 W Dunlap Ave Ste 140, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 279-5351.

NPI number for Brenda Blake-johnson is 1003408808 and her current mailing address is 4041 N Central Ave Bldg C, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003408808.

Contact Information

Brenda Blake-johnson,
2423 W Dunlap Ave Ste 140,
Phoenix, AZ 85021-5818
(602) 279-5351
(602) 279-5361

Map and Direction


Healthcare Provider's Profile

Full NameBrenda Blake-johnson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2423 W Dunlap Ave Ste 140, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003408808
  • Provider Enumeration Date: 02/03/2021
  • Last Update Date: 02/03/2021

Medical Identifiers

Medical identifiers for Brenda Blake-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003408808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Blake-johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brenda Blake-johnson,
4041 N Central Ave Bldg C,
Phoenix, AZ 85012-3313

Ph: (602) 279-5262
Brenda Blake-johnson,
2423 W Dunlap Ave Ste 140,
Phoenix, AZ 85021-5818

Ph: (602) 279-5351

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