# SILVER FIDDLE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639739121
- **Authorized official:** MS. LOLA MARIE BLEVINS LMFT (PRESIDENT)
- **Authorized official phone:** (209) 304-8821

## Contact information

- **Practice address:** 19881 STATE HIGHWAY 88, PINE GROVE, CA 95665-9495
- **Practice address phone:** (209) 560-6012
- **Mailing address:** PO BOX 182, VOLCANO, CA 95689-0182
- **Mailing address phone:** (209) 304-8821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 06/17/2019