NPI 1225191745 MS. DORENE G BLAKE MA MFT CAPITOLA CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Dorene G Blake - NPI: 1225191745

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. DORENE G BLAKE
NPI Number: 1225191745
Entity Type Code: Individual (1)
Gender: F
Credentials: MA MFT
License Number: MFT27688
Business Practice Address: 820 Bay Avenue
Suite 132 Capitola, CA - 95010
Business Phone Number: 8314751615
Business Fax Number: 8314762433
Mailing Address: 4160 Jade St, #31
CAPITOLA
State: CA
Postal Code: 95010
Phone Number: 8314762433
Fax Number: 8314762433
NPI Enumeration Date: 12/18/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 106H00000X
License Number: MFT27688
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Marriage & Family Therapist
Taxonomy Specialization:
Taxonomy Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.


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