Blackburn, Martha Ann

Blackburn, Martha Ann is an sole proprietor health care provider with primary practice located at 301 S Fair Oaks Ave 406C, Pasadena CA 91105-2561. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blackburn, Martha Ann can be contacted via phone (626) 449-8858.

Contact Information

Primary practice address
301 S Fair Oaks Ave 406C Pasadena CA 91105-2561
Phone: (626) 449-8858
Fax: (626) 449-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW 5099 California

Profile Details

NPI number 1619023926
LBN Legal business name Blackburn, Martha Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Mar 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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