Jerry Blue is a Mental Health in San Bernardino, California. Jerry Blue practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry Blue is 1942477542. The last update date is 2008-05-13.
Jerry Blue's current location address is 572 N Arrowhead Ave, San Bernardino, California. You can contact this provider via phone number 9092662700. The mailing address for Jerry Blue is 572 N Arrowhead Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Blue |
|---|---|
| Address | 572 N Arrowhead Ave, San Bernardino, California |
| Phone Number | 9092662700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1942477542 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 572 N Arrowhead Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924011251 |
| Phone Number | 9092662700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Blue by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Blue has been assigned the NPI (National Provider Identifier) 1942477542. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jerry Blue is physically located?
The Jerry Blue is physically situated at the following address: 572 N Arrowhead Ave, San Bernardino, CA, 924011251.
What is the Jerry Blue's area of specialization and corresponding taxonomy classification?
The Jerry Blue's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When did Jerry Blue receive its 1942477542 assignment?
The Jerry Blue was assigned its 1942477542 on 2008-05-13, which is the date when this unique identifier was issued to the organization.
When was the Jerry Blue's information last updated?
The Jerry Blue's information was last updated on 2008-05-13.