Kendall Blackburn
Kendall Blackburn is a Peer Specialist in Oceanside, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
321 Cassidy StOceanside, CA 92054-5314
Phone: (760) 721-2171
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence MPSS-GWZKB (CA) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X (CA) |
Record details
| NPI number | 1629853676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | September 5, 2023 |
| Certification date | September 5, 2023 |
| Mailing address | 321 Cassidy St, Oceanside, CA 92054-5314 |
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