MS. REGALIA LYN BLAKE RADT NPI 1598434821

NPI Information

NPI: 1598434821
Provider Name: MS. REGALIA LYN BLAKE, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2391 WARREN RD
SAN JACINTO, CA
ZIP 92582
Phone: (951) 390-2267
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MS. Regalia Lyn Blake, RADT is an addiction (substance use disorder) counselor in San Jacinto, CA. MS. Regalia Lyn Blake, RADT NPI is 1598434821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2391 WARREN RD
SAN JACINTO, CA
ZIP 92582
Phone: (951) 390-2267
Fax: (951) 390-2267

The enumeration date for this NPI number is 9/9/2021 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1441980821	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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