Individual
ANDREW BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4611
(510) 352-9200
Mailing address
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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