ALDEN LEE BLIZZARD NPI 1952705899

NPI Information

NPI: 1952705899
Provider Name: ALDEN LEE BLIZZARD
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA
ZIP 92102
Phone: (619) 398-2156
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Alden Lee Blizzard is a counselor in San Diego, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Alden Lee Blizzard NPI is 1952705899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA
ZIP 92102-550
Phone: (619) 398-2156

The enumeration date for this NPI number is 10/21/2014 and was last updated on 11/23/2020.

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	101Y00000X	Counselor				Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R4280115	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N/A	OTHER	CALIFORNIA	TREATMENT COUNSELOR

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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