Individual
BLANCA STEPHANIE MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 E. 13TH ST., MERCED, CA 95341
(209) 381-6800
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC10126
CA
Other
Enumeration date
01/07/2020
Last updated
08/31/2021
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