| Jonathan Charles Blankenship, | |
|
520 N Main St Ste 101, Angels Camp, CA 95222-9607 | |
| (209) 736-9030 | |
| Not Available |
| Full Name | Jonathan Charles Blankenship |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 520 N Main St Ste 101, Angels Camp, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053055301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37006 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 37006 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Charles Blankenship, Po Box 456, Altaville, CA 95221-0456 Ph: () - | Jonathan Charles Blankenship, 520 N Main St Ste 101, Angels Camp, CA 95222-9607 Ph: (209) 736-9030 |
Ms. Jane S Lucas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1311 S. Main St., Suite C, Angels Camp, CA 95222 Phone: 209-728-5253 Fax: 209-728-8433 | |
Ms. Nitya Prema, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1311 South Main St, Angels Camp, CA 95222 Phone: 209-795-0755 Fax: 209-795-0755 |