Blackhurst, Mark Daniel

Blackhurst, Mark Daniel is an sole proprietor health care provider with primary practice located at 21633 Avenue 24 , Chowchilla CA 93610-9650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blackhurst, Mark Daniel can be contacted via phone (559) 665-6100.

Contact Information

Primary practice address
21633 Avenue 24 Chowchilla CA 93610-9650
Phone: (559) 665-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY28115 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 28115 California

Profile Details

NPI number 1760770192
LBN Legal business name Blackhurst, Mark Daniel
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2011
Last updated Jan 10th, 2024 - about last year

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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