Individual provider · Type 1 NPI

Brenn Ashton Blaisdell

Mental Health Counselor · Ventura, CA

NPI number 1104614585 Active

Practice location

5550 Telegraph Rd Ste A
Ventura, CA 93003-4256

Call (805) 225-3317 Map

Mailing address

PO Box 3341
Thousand Oaks, CA 91359-0341

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT150652 (CA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1104614585

Brenn Ashton Blaisdell's National Provider Identifier is 1104614585, issued on Apr 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ventura, CA. The record was last updated on Apr 28, 2025.