Individual
BARBARA J. BLASZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. , B.S.W.
Contact information
Practice address
107 E MAIN ST, SUITE 2, MEDFORD, OR 97501-6048
(541) 773-4074
Mailing address
107 E MAIN ST, MEDFORD, OR 97501-6022
(541) 773-4074
(541) 201-0803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 0083 MFT 0038
OR
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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