Individual
BRENN ASHTON BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 TELEGRAPH RD STE A, VENTURA, CA 93003-4256
(805) 225-3317
Mailing address
PO BOX 3341, THOUSAND OAKS, CA 91359-0341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AMFT150652
CA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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