Becky Blatnick, BECKY BLATNICK
Individual provider Active NPI Marriage & Family Therapist · Crescent City, CA
NPI 1659433233 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659433233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC18052 (CA)
- Practice address
- 422 9TH St
Crescent City, CA 95531-3430 - Phone
- (707) 464-8451
- Fax
- (707) 458-3074
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MFC18052 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC18052 | CA | Yes |
Addresses
Primary practice location
422 9TH St
Crescent City, CA 95531-3430
Mailing address
422 9TH St
Crescent City, CA 95531-3430
Phone (707) 464-8451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC18052 | Other | CA | LMFT LICENSE |
Other names
- Becky Blatnick
Other providers in Crescent City, CA
- Thomas Warren Bischoff
- Eric Black
- Susan Blake
- Michelle Marie Blakely
- Heather Blankenship
- Gary Blatnick
- Matthew Charles Blundell
- Gloria Bobertz
- William Bowden
- Allen Bracebridge
All providers in Crescent City, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.