Individual
CHRIS BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17467 VIA ANACAPA, SAN LORENZO, CA 94580-3209
(469) 226-8154
Mailing address
17467 VIA ANACAPA, SAN LORENZO, CA 94580-3209
(469) 226-8154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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