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

Blanca Ruth Nicassio, AMFT

Individual provider Mental Health Counselor · NPI 1538623004

Blanca Ruth Nicassio, AMFT is a Mental Health Counselor in Fontana, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

14677 Merrill Ave
Fontana, CA 92335
Phone: (951) 643-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5353 G St, Chino, CA 91710-5250 — (909) 590-4001
  • 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739-9662 — (837) 190-9708

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 106568 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence APCC6302 (CA)

Record details

NPI number1538623004
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorNo
NPI enumeratedJanuary 29, 2019
Last updated in NPPESSeptember 25, 2023
Certification dateJuly 12, 2023

Other providers in Fontana