# CK BLACKMORE MARRIAGE & FAMILY THERAPY, PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CK Blackmore Psychotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932659844
- **Authorized official:** DR. CHRISTINA OLIVIERI BLACKMORE MFT, PHD (OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (518) 269-5458

## Contact information

- **Practice address:** 3150 18TH ST, 257, SAN FRANCISCO, CA 94110-2074
- **Practice address phone:** (518) 269-5458
- **Mailing address:** 889 PERALTA AVE, SAN FRANCISCO, CA 94110-6241
- **Mailing address phone:** (518) 269-5458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 85721 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 10/04/2016