Jesse Blackhill
Social Worker, Clinical in San Jose, CA. Individual provider (NPI-1).
NPI number1164083028
StatusActive
Last updated in NPPESJul 31, 2026
Details
- NPI
- 1164083028
- Entity type
- Individual (NPI-1)
- Name
- Jesse Blackhill
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2019
- Certification date
- Jul 31, 2026
- Last updated
- Jul 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 106727 | CA | Yes |
Practice location
1555 Parkmoor AveSan Jose, CA 95128-2407
Phone 408-282-0402
Mailing address
Po Box 127Napa, CA 94559-0127
Phone 707-255-3300 · Fax 707-255-3527
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