Shantelle Denise Blackburn
Shantelle Denise Blackburn is a Mental Health Counselor in San Jose, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
645 Wool Creek DrSan Jose, CA 95112-2617
Phone: (408) 283-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 114520 (CA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 114520 (CA) |
Record details
| NPI number | 1164192886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2021 |
| Last updated in NPPES | September 3, 2024 |
| Certification date | September 3, 2024 |
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