Individual
ALKENIA BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5885 BROCKTON AVE, RIVERSIDE, CA 92506-1863
(800) 270-5016
(800) 680-3626
Mailing address
9246 LIGHTWAVE AVE STE 120, SAN DIEGO, CA 92123-6411
(800) 270-5016
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94027297
CA
Other
Enumeration date
08/10/2021
Last updated
07/28/2026
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