Provider Demographics
NPI:1447318035
Name:DARRINGTON, BLAKE L (MS)
Entity type:Individual
Prefix:MR
First Name:BLAKE
Middle Name:L
Last Name:DARRINGTON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MAPLE CT STE 115
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3549
Mailing Address - Country:US
Mailing Address - Phone:805-644-4931
Mailing Address - Fax:805-658-0258
Practice Address - Street 1:260 MAPLE CT STE 115
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3549
Practice Address - Country:US
Practice Address - Phone:805-644-4931
Practice Address - Fax:805-658-0258
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31966106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist