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NPI Code Detail

MEDICARE: ALISON BLACKBURN

MEDICARE: ALISON BLACKBURN
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
1106H00000XMarriage & Family TherapistLMFT125470CA

General Provider Information

NPI Number : 1548727159
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON BLACKBURN
Provider Business Mailing Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-319-8904
Fax Number :
Provider Business Practice Location Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-344-7665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2019
Last Update Date : 04/07/2026

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Directions to “ ALISON BLACKBURN ” Practice Location

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