Martin Blanco, DACII
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Corning, CA
NPI 1063673754 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1063673754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- A3765798 (CA)
- Practice address
- 1600 Solano St
Corning, CA 96021-2952 - Phone
- (530) 824-4890
- Fax
- (530) 824-8443
- NPI assigned
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3765798 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A3765798 | CA | Yes |
Addresses
Primary practice location
1600 Solano St
Corning, CA 96021-2952
Mailing address
PO Box 400
Red Bluff, CA 96080-0400
Phone (530) 824-4890
Other providers in Corning, CA
- Meredith Anne Allen
- Darlene M Androus Junk
- Barbara Kinkle PA Inc., a Physician Assistant Corporation
- Cynthia Barbo
- Cesar Luis Baruja-Baquer
- Dorothy Ann Bratton
- Busta Enterprises, LLC
- Kitcia Y Cabrera
- Abhishek Chaudhary
- Gabriel C Choi
All providers in Corning, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.