Individual
ANNA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E. FOOTHILL BLVD., 124-D, RIALTO, CA 92376
(909) 421-9475
Mailing address
15218 SUMMIT AVE STE 300-260, FONTANA, CA 92336-0232
(906) 560-9797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
ASW110371
CA
104100000X
Social Worker
Primary
ASW110371
CA
Other
Enumeration date
01/07/2008
Last updated
09/11/2023
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