Dorene G Blake in Capitola - Marriage & Family Therapist
Dorene G Blake - NPI 1225191745
Dorene G Blake is a Marriage & Family Therapist in Capitola, California. Dorene G Blake practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Dorene G Blake is 1225191745. The last update date is 2007-07-08.
Dorene G Blake's current location address is 4160 Jade St, Capitola, California. You can contact this provider via phone number 8314762433 and fax number 8314762433. The mailing address for Dorene G Blake is 4160 Jade St, Capitola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorene G Blake |
|---|---|
| Address | 4160 Jade St, Capitola, California |
| Phone Number | 8314762433 |
| Fax Number | 8314762433 |
| Sole Proprietor | N |
| Credentials | MA MFT |
NPI Number Detail
| NPI Number | 1225191745 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4160 Jade St |
|---|---|
| City | Capitola |
| State | California (CA) |
| Post Code | 95010 |
| Phone Number | 8314762433 |
| Fax Number | 8314762433 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT27688 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Dorene G Blake by the Centers for Medicare & Medicaid Services?
The Dorene G Blake has been assigned the NPI (National Provider Identifier) 1225191745 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Dorene G Blake's physical address?
The Dorene G Blake is physically located at 4160 Jade St, in the city of Capitola, CA, with the postal code 95010.
What is Dorene G Blake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dorene G Blake is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
When was the Dorene G Blake's 1225191745 issued?
The Dorene G Blake's 1225191745 was issued on 2006-12-18.
When was the information regarding Dorene G Blake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dorene G Blake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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