Individual
BLANEY MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRS
Contact information
Practice address
1400 EMELINE AVE BLDG K, SANTA CRUZ, CA 95060
(831) 454-4728
Mailing address
1400 EMELINE AVE BLDG K, SANTA CRUZ, CA 95060-1976
(831) 454-4728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
08/15/2019
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