Organization
WILDWOODS COUNSELING LLC
Active
Other names
Chris Blazina PhD, xxx-xx-xxxx
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DOUGLAS BLAZINA PHD (PSYCHOLOGIST/ WILDWOODS COUNSELING)
(505) 975-7723
Entity
Organization
Contact information
Practice address
54 SKYLINE DR # USA, SANDIA PARK, NM 87047-9306
(505) 975-7723
Mailing address
54 SKYLINE DR # USA, SANDIA PARK, NM 87047-9306
(505) 975-7723
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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