MR. JERRY BLUE NPI 1942477542

NPI Information

  • NPI: 1942477542
  • Provider Name: MR. JERRY BLUE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 572 ARROWHEAD
    SAN BERNARDINO, CA
    ZIP 92401
  • Phone: (909) 266-2700

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NPI Details

MR. Jerry Blue is a mental health counselor in San Bernardino, CA. MR. Jerry Blue NPI is 1942477542. 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:

572 ARROWHEAD
SAN BERNARDINO, CA
ZIP 92401
Phone: (909) 266-2700

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/13/2008.

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
1101YM0800XCounselorMental HealthYes

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: 3/30/2025

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