Healthcare Provider Details

I. General information

NPI: 1811708647
Provider Name (Legal Business Name): ISABEL ARCHER -BLASCHKA LMFT#152712
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 SUNOL BLVD STE 106
PLEASANTON CA
94566-7743
US

IV. Provider business mailing address

3840 PRINCETON WAY
LIVERMORE CA
94550-3647
US

V. Phone/Fax

Practice location:
  • Phone: 408-203-2035
  • Fax:
Mailing address:
  • Phone: 408-203-2035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number152712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: