MR. Kevin Randall Blankenship

NPI #1902122815 in Taft, California

Provider Information

NPI Number: 1902122815
Entity Type: Individual
Name: MR. Kevin Randall Blankenship
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 16, 2010
Last Updated: Apr 16, 2010

Practice Location

Address: 1024 4TH ST
Address 2: SUITE B
City: Taft
State: California
ZIP Code: 93268
Phone: (661) 754-2524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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