Individual provider · Type 1 NPI

Brentt Blackmon

Counselor · Elk Grove, CA

NPI number 1750951109 Active

Practice location

9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101

Call (916) 402-9007 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1750951109

Brentt Blackmon's National Provider Identifier is 1750951109, issued on Jun 29, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Elk Grove, CA. The record was last updated on Sep 15, 2021.