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BLAISE CHERIE EVERSOLE
NPI 1194685206
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since November 12, 2025
2120 W WILLIAMS ST, LONG BEACH, CA 90810(562) 388-8118 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blaise Cherie Eversole NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAISE CHERIE EVERSOLE (NPI 1194685206) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1194685206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBLAISE CHERIE EVERSOLE
Location Address2120 W WILLIAMS STLong Beach, CA 90810-3636
Mailing Address2106 E Bermuda St Apt 206Long Beach, CA 90814-6066
Phone(562) 388-8118
Sole ProprietorNo
Enumeration DateNovember 12, 2025
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1194685206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2120 W WILLIAMS ST, Long Beach, CA 90810
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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

AMERICAN INDIAN CHANGING SPIRITS
Substance Abuse Rehabilitation Facility
2120 W WILLIAMS ST, BUILDING #1
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
AMERICAN INDIAN CHANGING SPIRITS
Substance Abuse Rehabilitation Facility
2120 W WILLIAMS ST, BUILDING #2
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
KELLY SIMS
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
RUDOLPH PARTIDA
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
CYNTHIA DAWSON
Case Manager/Care Coordinator
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
GILBERTO RADAMES PADILLA ZUNIGA
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
GEYNNA LEVETTE BUFFINGTON CERTIFIED PSS
Peer Specialist
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
DEREK DEAN HOLLAND
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
PHILLIP REED JR.
Case Manager/Care Coordinator
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 583-4979
LAWRENCE DAVID GRISSOM JR.
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8115
JONATHAN JAMES CHASE IN WINTER
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
CLAIRE KOBREN LCSW
Social Worker (Clinical)
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 625-3523
MARIO DUARTE
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (213) 875-9108
KATHLEEN MICHAEL LOW
Student in an Organized Health Care Education/Training Program
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
MR. LEVI RAHSAN STANSBERRY
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (323) 802-3673
JOHN LOUIS VALENCIA
Peer Specialist
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118

Frequently Asked Questions

What is Blaise Eversole's NPI number?

The NPI number assigned to this healthcare provider is 1194685206, enumerated as an "individual" on November 12, 2025.

Where is the provider located?

The provider is located at 2120 W WILLIAMS ST LONG BEACH, CA 90810 and the phone number is (562) 388-8118.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.