Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Haidenthaller Blake-Holden, LAC

Individual provider Acupuncturist · NPI 1811687700

Jennifer Haidenthaller Blake-Holden, LAC is an Acupuncturist in Canoga Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

7916 Hanna Ave
Canoga Park, CA 91304-4721
Phone: (818) 448-0336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 19731 (CA)

Record details

NPI number1811687700
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

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