Provider Demographics
NPI:1336342989
Name:BLUNT, SONYA N (RASI AND SAC)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:N
Last Name:BLUNT
Suffix:
Gender:F
Credentials:RASI AND SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 MARINA BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-2102
Mailing Address - Country:US
Mailing Address - Phone:925-439-6954
Mailing Address - Fax:925-439-7127
Practice Address - Street 1:535 MARINA BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-2102
Practice Address - Country:US
Practice Address - Phone:925-439-6954
Practice Address - Fax:925-439-7127
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)