Individual
JACLYN BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5335 CRANER AVE, NORTH HOLLYWOOD, CA 91601-3313
(203) 243-9400
Mailing address
5335 CRANER AVE, NORTH HOLLYWOOD, CA 91601-3313
(203) 243-9400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI45401224
CA
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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