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Organization
CK BLACKMORE MARRIAGE & FAMILY THERAPY, PROF CORP
Active
Organization
CK BLACKMORE MARRIAGE & FAMILY THERAPY, PROF CORP
Active
Other names
CK Blackmore Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA OLIVIERI BLACKMORE MFT, PHD (OWNER/PSYCHOTHERAPIST)
(518) 269-5458
Entity
Organization
Contact information
Practice address
3150 18TH ST, 257, SAN FRANCISCO, CA 94110-2074
(518) 269-5458
Mailing address
889 PERALTA AVE, SAN FRANCISCO, CA 94110-6241
(518) 269-5458
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85721
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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