Individual
BLAISE PISTOTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. M.A.
Contact information
Practice address
3555 E FRY BLVD, APACHE MIDDLE SCHOOL, SIERRA VISTA, AZ 85635-2972
(520) 515-2928
(520) 515-2900
Mailing address
3555 E FRY BLVD, APACHE MIDDLE SCHOOL, SIERRA VISTA, AZ 85635-2972
(520) 515-2928
(520) 515-2900
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
11/05/2007
Last updated
11/12/2007
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