Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blair Wishom

Individual provider Counselor · NPI 1316302532

Blair Wishom is a Counselor in Stockton, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2495 W March Ln Ste 125
Stockton, CA 95207-8224
Phone: (209) 320-7675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1316302532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2015
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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