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Individual
MS. STEPHANIE ANN BLOESCH
Active
Individual
MS. STEPHANIE ANN BLOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.F.T.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MFC 41505
CA
101YM0800X
Mental Health Counselor
MFC41505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109
MEDI-CAL
CA
Enumeration date
12/05/2006
Last updated
06/03/2010
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