Nicassio, Blanca Ruth

Nicassio, Blanca Ruth is an individual health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nicassio, Blanca Ruth can be contacted via phone (951) 643-2340.

Contact Information

Primary practice address
14677 Merrill Ave Fontana CA 92335
Phone: (951) 643-2340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APCC6302 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 106568 California

Profile Details

NPI number 1538623004
LBN Legal business name Nicassio, Blanca Ruth
Credentials AMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Sep 25th, 2023 - about 3 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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