Individual provider · Type 1 NPI

Mikayla Ariana Blackbear

Addiction (Substance Use Disorder) Counselor · El Cajon, CA

NPI number 1629847587 Active

Practice location

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Call (619) 386-1756 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Marriage & Family Therapist 106H00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1629847587

Mikayla Ariana Blackbear's National Provider Identifier is 1629847587, issued on Dec 20, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Cajon, CA. The record was last updated on Dec 20, 2023.