Teresa L Blenggio MFT INTERN #IMF79893

NPI 1063768778 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1063768778
Gender Female
Enumeration Date 07/31/2012
Last Updated 04/15/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1031 25TH ST
SAN DIEGO CA, 92102-2102, US
Phone (619) 232-6454
Business Location
417 1/2 SPRUCE ST
SAN DIEGO CA, 92103-5805, US
Phone (619) 723-2254
Taxonomy Code 106H00000X
License State California
License Number IMF79893
Remove 1063768778 NPI Number

According to our database, Ms. Teresa L Blenggio MFT INTERN #IMF79893 NPI is 1063768778, taxonomy code is 106H00000X and license number is IMF79893, license state is located at California. Teresa L Blenggio MFT INTERN #IMF79893 physically located at 1031 25th St, San Diego CA, 92102-2102. NPI Number Teresa L Blenggio MFT INTERN #IMF79893 has the Individual type.

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1063768778 NPI number is provided on an as is basis without warranty of any kind. 1063768778 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa L Blenggio MFT INTERN #IMF79893 are for informational purposes only.