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Organization

BLAIR RHODES MFT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEOFFREY BLAIR RHODES LMFT (THERAPIST)
(530) 925-4480
Entity
Organization

Contact information

Practice address
618 N MOUNT SHASTA BLVD, MOUNT SHASTA, CA 96067-2235
(530) 925-4480
(530) 926-3450
Mailing address
PO BOX 122, MOUNT SHASTA, CA 96067-0122
(530) 925-4480
(530) 926-3450

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44077
CA

Other

Enumeration date
10/13/2011
Last updated
10/13/2011
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