Blackburn, Kendall

Blackburn, Kendall is an individual health care provider with primary practice located at 321 Cassidy St , Oceanside CA 92054-5314. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blackburn, Kendall can be contacted via phone (760) 721-2171.

Contact Information

Primary practice address
321 Cassidy St Oceanside CA 92054-5314
Phone: (760) 721-2171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California
Behavioral Health & Social Service Providers / Counselor 101Y00000X MPSS-GWZKB California

Profile Details

NPI number 1629853676
LBN Legal business name Blackburn, Kendall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Sep 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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