Individual
DEBORAH J BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1200 CHESTERLY DR, SUITE 200, YAKIMA, WA 98902-7338
(509) 575-4313
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004769
WA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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