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Organization
KRISTIN BLANEY, INDIVIDUAL & FAMILY THERAPY, INC.
Active
Organization
KRISTIN BLANEY, INDIVIDUAL & FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN JOANNA BLANEY MA (MARRIAGE AND FAMILY THERAPIST)
(949) 633-6516
Entity
Organization
Contact information
Practice address
161 AVENIDA CABRILLO, SAN CLEMENTE, CA 92672-4040
(949) 633-6516
Mailing address
5215 VISTA DE OLMO, SAN CLEMENTE, CA 92673-7114
(949) 633-6516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285092791
—
CA
Enumeration date
05/21/2019
Last updated
06/11/2019
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