Individual
MR. BLAINE PAUL CARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806-2325
(562) 256-2974
(562) 290-0074
Mailing address
6064 E OAKBROOK ST, LONG BEACH, CA 90815-2227
(562) 537-6744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS22229
CA
Other
Enumeration date
11/09/2006
Last updated
03/15/2021
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