MEDICARE: MONIQUE JACQUELINE BLANCHARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		CA

General Provider Information

NPI Number	:	1033066345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE JACQUELINE BLANCHARD

Provider Business Mailing Address
First Line	:	5325 NEWCASTLE AVE UNIT 207
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3180
Country	:	US
Telephone Number	:	310-570-5027
Fax Number	:

Provider Business Practice Location Address
First Line	:	30125 AGOURA RD STE E
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4337
Country	:	US
Telephone Number	:	310-570-5027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

Similar Medicare Providers

1659973154 — FOY WELLNESS AND RECOVERY, LLC
Practice Location Address:

30125 AGOURA RD STE E
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-217-9500
Practice Fax:

1699555417 — LANDEN STOCK
Practice Location Address:

30125 AGOURA RD STE E
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-491-9835
Practice Fax:

1184404915 — REMINGTON ELIZABETH MOSES
Practice Location Address:

30125 AGOURA RD # F
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-557-8996
Practice Fax:

1821840588 — NOEL NICOLE DORAN
Practice Location Address:

30125 AGOURA RD
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-558-0839
Practice Fax:

1407601263 — MORGAN ATKERSON
Practice Location Address:

30125 AGOURA RD STE F
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-659-8429
Practice Fax:

1649001587 — MRS. LISA MARIE HARRIS
Practice Location Address:

30125 AGOURA RD STE E
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-558-0839
Practice Fax:

Directions to “ MONIQUE JACQUELINE BLANCHARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.