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Organization

EMANATE PROFESSIONAL CLINICAL COUNSELOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSI FRANCES BLANK LPCC (THERAPIST)
(626) 788-3065
Entity
Organization

Contact information

Practice address
425 COUNTRY CLUB DR, SIMI VALLEY, CA 93065-8313
(626) 788-3065
Mailing address
PO BOX 7269, VAN NUYS, CA 91409-7269
(818) 515-3879

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/03/2022
Last updated
03/07/2022
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