Jessica Michelle Blake M.F.T.

NPI 1346322898 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1346322898
Gender Female
Enumeration Date 10/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 SUNNYHILLS DR
SAN ANSELMO CA, 94960-1909, US
Phone (415) 457-3200
Fax (415) 456-2897
Business Location
300 SUNNYHILLS DR
SAN ANSELMO CA, 94960-1909, US
Phone (415) 457-3200
Fax (415) 456-2897
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC34729
Remove 1346322898 NPI Number
 

According to our database, Ms. Jessica Michelle Blake M.F.T. NPI is 1346322898, taxonomy code is 106H00000X and license number is MFC34729, license state is located at California. Jessica Michelle Blake M.F.T. physically located at 300 Sunnyhills Dr, San Anselmo CA, 94960-1909. NPI Number Jessica Michelle Blake M.F.T. has the Individual type.

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1346322898 NPI number is provided on an as is basis without warranty of any kind. 1346322898 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Michelle Blake M.F.T. are for informational purposes only.