Search › California › 101Y00000X
Kyle Blaylock, ACSW
NPI 1487133609 · on the registry since 2018
Practice
- Address
- 2259 Myrtle Ave
Eureka, CA 95501 - Phone
- (707) 444-8293
- Fax
- (707) 444-8298
- Organisation at this address
- Changing Tides Family Services
Changing Tides Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 3960 Walnut Dr, Eureka, CA
- 720 Wood St, Eureka, CA
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California