Individual
MISS BLAINE COURTNEY PALSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 SOUTH ST STE Y, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
(805) 541-9480
Mailing address
3974 FALCON AVE, LONG BEACH, CA 90807-3736
(562) 972-0487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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