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Mr. Randall Blank
Peer Specialist in Sutter Creek, California
NPI 1356884845

Randall Blank is a Peer Specialist based in Sutter Creek, CA. Randall Blank practices in Sutter Creek, CA. The NPI Number for Randall Blank is 1356884845 and holds a License No. (California).

The current practice location address for Randall Blank is 10877 Conductor Blvd, Sutter Creek, CA and can be reached out via phone at 209-223-6312.

Location: 10877 Conductor Blvd, Sutter Creek, CA, 95685-9687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356884845
Provider Name
Randall Blank
Credential
Provider Entity Type
Individual
Gender
Male
Address
10877 Conductor Blvd, Sutter Creek, CA, 95685-9687
Phone Number
209-223-6312
Fax Number
Provider Enumeration Date
12/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10877 Conductor Blvd
City
Sutter Creek
State
California
Zip
95685-9687
Phone Number
209-223-6312
Fax Number
person
Provider Business Mailing Address Details
Address
10877 Conductor Blvd
City
Sutter Creek
State
California
Zip
95685-9687
Phone Number
209-223-6312
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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