Sage, Courtney Blake

Sage, Courtney Blake is an individual health care provider with primary practice located at 39155 Liberty St G710, Fremont CA 94538-1513. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Sage, Courtney Blake can be contacted via phone (510) 795-2423.

Contact Information

Primary practice address
39155 Liberty St G710 Fremont CA 94538-1513
Phone: (510) 795-2423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X California
Behavioral Health & Social Service Providers / Social Worker 104100000X 26149 ASW California
Behavioral Health & Social Service Providers / Social Worker 104100000X 29835 California

Profile Details

NPI number 1508299223
LBN Legal business name Sage, Courtney Blake
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2013
Last updated Jan 6th, 2014 - about 12 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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