Blankenship, Jonathan Charles
Blankenship, Jonathan Charles is an individual health care provider with primary practice located at 520 N Main St Ste 101 , Angels Camp CA 95222-9607. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Blankenship, Jonathan Charles can be contacted via phone (209) 736-9030.Contact Information
Primary practice address
520 N Main St Ste 101
Angels Camp CA 95222-9607
Phone: (209) 736-9030
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37006 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 37006 | California |
Profile Details
NPI number | 1053055301 |
---|---|
LBN Legal business name | Blankenship, Jonathan Charles |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2022 |
Last updated | Apr 29th, 2022 - about 3 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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