Individual provider · Type 1 NPI

Jerry Blue

Mental Health Counselor · San Bernardino, CA

NPI number 1942477542 Active

Practice location

572 Arrowhead
San Bernardino, CA 92401

Call (909) 266-2700 Map

Mailing address

572 N Arrowhead Ave
San Bernardino, CA 92401-1251

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1942477542

Jerry Blue's National Provider Identifier is 1942477542, issued on May 13, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on May 13, 2008.