STEPHANIE BLALOCK
NPI 1972036499
Counselor - Mental Health in Marina, CA
About Stephanie Blalock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE BLALOCK (NPI 1972036499) is an individual mental health provider in Marina, California and active in the NPI registry since April 2017.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Blalock's NPI number?
The NPI number for Stephanie Blalock is 1972036499. It was assigned to this individual provider in the NPPES registry on April 11, 2017.
Where is Stephanie Blalock located?
Stephanie Blalock practices at 617 Bayonet Circle, Marina, CA 93933. The listed phone number is (831) 384-7251.
What is Stephanie Blalock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Stephanie Blalock was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stephanie Blalock · NPI 1972036499
Mental Health provider in Marina, California. Individual provider, active in the CMS NPPES registry since April 11, 2017.
## Identity
- **NPI:** 1972036499 (Entity type: Individual)
- **Enumerated:** April 11, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 617 BAYONET CIRCLE, Marina, CA 93933
- **Phone:** (831) 384-7251
## Record status
- **NPPES last updated:** April 11, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1972036499) · Data from the CMS NPPES public registry.