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Individual

MR. ADRIAN OROZCO BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFT INTERN

Contact information

Practice address
1265 65TH ST, EMERYVILLE, CA 94608-1110
(510) 595-5500
Mailing address
10 SKYLARK DR APT 18, LARKSPUR, CA 94939-1223

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
94164
CA

Other

Enumeration date
07/29/2017
Last updated
07/29/2017
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