# MS. HOLLEY REILLY BLITZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255437950
- **Gender:** F
- **Credential:** MA MFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT-8097 | ID | Yes |
| 106H00000X | Marriage & Family Therapist | MFT33818 | CA | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/17/2023
