Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENTT BLACKMON
Active Sole ProprietorBRENTT BLACKMON is a Counselor healthcare provider located in ELK GROVE, California. NPI 1750951109 is currently active in the NPPES registry. Verify at CMS.
Counselor · ELK GROVE, CA
Registration Details
- NPI Number
- 1750951109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2021 (4.9425530638594 yrs)
- Last Updated
- Sep 15, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
9412 BIG HORN BLVD STE 6ELK GROVE, CA, 957581101Browse CA providers · Browse ZIP 95758
- Phone
- 9164029007
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Other Counselor Providers in ELK GROVE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. LAURIE MARCINE BARNES | — | 1770647414 |
| MRS. FAITH MARIE PATTERSON | — | 1790809101 |
| MRS. VERONICA AYALA | MHRS | 1548389562 |
| CHERYL LYNN KEENAN | — | 1073634101 |
| KIARA DANIELLE DAVISON | — | 1548453301 |
| MS. LILIANA MARTINEZ | — | 1225477011 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.