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

Blake James Coronado

Individual provider Marriage & Family Therapist · NPI 1194482703

Blake James Coronado is a Marriage & Family Therapist in Stockton, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

2495 W March Ln
Stockton, CA 95207-8251
Phone: (209) 271-3218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X
Social Worker Taxonomy 104100000X

Record details

NPI number1194482703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 11, 2021

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