Organization
BLACK OAK MINE UNIFIED SCHOOL DISTRICT
Active
Other names
Bridget Isham
Organization subpart
No
Provider details
NPI number
Authorized official
CLORISA LYNN BLISH CWCII WELLNESS COACH (WELLNESS COACH)
(530) 903-9188
Entity
Organization
Contact information
Practice address
6530 WENTWORTH SPRINGS RD, GEORGETOWN, CA 95634-9701
(530) 333-8320
Mailing address
9080 COUNTRY RD, GEORGETOWN, CA 95634-9732
(530) 903-9188
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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