| James Allen Blackburn, LMFT | |
|
768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | |
| (530) 621-6547 | |
| Not Available |
| Full Name | James Allen Blackburn |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 768 Pleasant Valley Rd, Diamond Springs, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770994147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 86441 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 252114 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| James Allen Blackburn, LMFT 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 Ph: (530) 621-6547 | James Allen Blackburn, LMFT 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 Ph: (530) 621-6547 |
Mrs. Kristin Erin Jones, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 768 Pleasant Valley Rd, Diamond Springs, CA 95619 Phone: 530-621-6290 | |
Mrs. Lori Lynn Larson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6692 Merchandise Way, Ste. B, Diamond Springs, CA 95619 Phone: 530-626-2589 | |
Breane Rae Crawford, BS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619 Phone: 530-626-3105 | |
Ms. Teri Lyn Gelgood, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 493 Pleasant Valley Rd, Suite 200, Diamond Springs, CA 95667 Phone: 530-503-7040 | |
Ms. Patricia Kolberg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Main St Ste 1d, Diamond Springs, CA 95619 Phone: 530-647-2684 | |
Olivia Francesca-diprosper Stanfield, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-626-3105 | |
Courtney Tomblin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 493 Main St, Diamond Springs, CA 95619 Phone: 530-485-3374 |