Gwenda Lynn Blum, - Counselor in Imperial Beach, CA

Gwenda Lynn Blum, is a Counselor - Addiction (substance Use Disorder) based in Imperial Beach, California. Gwenda Lynn Blum is licensed to practice in * (Not Available) (license number ) and her current practice location is 620 13th St Apt A, Imperial Beach, California. She can be reached at her office (for appointments etc.) via phone at (619) 628-4869.

NPI number for Gwenda Lynn Blum is 1770792335 and her current mailing address is 620 13th St Apt A, Imperial Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770792335.

Contact Information

Gwenda Lynn Blum,
620 13th St Apt A,
Imperial Beach, CA 91932-1722
(619) 628-4869
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameGwenda Lynn Blum
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location620 13th St Apt A, Imperial Beach, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770792335
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Gwenda Lynn Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770792335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwenda Lynn Blum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gwenda Lynn Blum,
620 13th St Apt A,
Imperial Beach, CA 91932-1722

Ph: (619) 628-4869
Gwenda Lynn Blum,
620 13th St Apt A,
Imperial Beach, CA 91932-1722

Ph: (619) 628-4869

Reviews and Comments


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