Individual provider · Type 1 NPI
Martin Blanco, DACII
Addiction (Substance Use Disorder) Counselor · Corning, CA
NPI number
1063673754
Active
Practice location
1600 Solano St
Corning, CA 96021-2952
Fax (530) 824-8443
Mailing address
PO Box 400
Red Bluff, CA 96080-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A3765798 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1063673754
Martin Blanco, DACII's National Provider Identifier is 1063673754, issued on Jun 24, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corning, CA. The record was last updated on Jun 24, 2008.