Individual
KATHERINE DIANE BLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 TEMPLE, SACRAMENTO, CA 95827-2024
(916) 425-2132
Mailing address
11230 GOLD EXPRESS DR # 310-274, GOLD RIVER, CA 95670-4484
(916) 425-2132
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
130951
CA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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