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Organization
STILL WATERS COUNSELING
Active
Organization
STILL WATERS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANNE BLODGETT LCSW (OWNER/OPERATOR)
(707) 834-5408
Entity
Organization
Contact information
Practice address
2910 HARRIS ST, EUREKA, CA 95503-4811
(707) 834-5408
(707) 443-4519
Mailing address
427 F ST STE 205, EUREKA, CA 95501-1040
(707) 834-5408
(707) 443-4519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285969436
BOARD OF BEHAVIORAL SERVICES
CA
Enumeration date
09/29/2017
Last updated
03/27/2023
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