Individual
MR. BLAKE JASON ZIMMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8318 UNIVERSITY AVE, SUITE A, LA MESA, CA 91942-9365
(858) 707-5959
Mailing address
8318 UNIVERSITY AVE, SUITE A, LA MESA, CA 91942-9365
(858) 707-5959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS27140
CA
Other
Enumeration date
06/08/2009
Last updated
11/29/2021
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