Healthcare Provider Details

I. General information

NPI: 1275810798
Provider Name (Legal Business Name): MS. YVETTE BLANCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YVETTE BLANCO M.S., A.S.W

II. Dates (important events)

Enumeration Date: 11/11/2011
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date: 07/15/2013
Reactivation Date: 05/20/2014

III. Provider practice location address

951 BLANCO CIR STE B
SALINAS CA
93901-4451
US

IV. Provider business mailing address

1270 NATIVIDAD ROAD
SALINAS CA
93901
US

V. Phone/Fax

Practice location:
  • Phone: 831-784-2150
  • Fax:
Mailing address:
  • Phone: 831-796-1500
  • Fax: 831-757-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW81583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: