Individual
BLANCHE JOANNA COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(619) 442-0277
Mailing address
1181 PERSIMMON AVE, EL CAJON, CA 92021-4827
(619) 444-9051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/12/2017
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