Individual provider · Type 1 NPI

Kelly Alyssa Blaylock

Mental Health Counselor · San Diego, CA

NPI number 1902462641 Active

Practice location

5088 Pacifica Dr
San Diego, CA 92109-1502

Call (619) 940-7441 Map

Mailing address

800 Silverado St Ste 300
La Jolla, CA 92037-4234

Other practice locations

  • 8755 Aero Dr Ste 306, San Diego, CA 92123-1764 · (858) 634-1108
  • 545 Laurel St, San Diego, CA 92101-1634 · (619) 233-4399
  • 3255 Wing St, San Diego, CA 92110-4638 · (619) 221-8600

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902462641

Kelly Alyssa Blaylock's National Provider Identifier is 1902462641, issued on May 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 5, 2023.