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BECKY BLATNICK BECKY BLATNICK

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1659433233

Individual Registrant:
 BECKY  BLATNICK BECKY BLATNICK
Gender: F
Sole Proprietor

Location and contact information for practice:
422 9TH ST  CRESCENT CITY, CA 95531-3430 US
Tel: 707-464-8451  Fax: 707-458-3074

Contact information for business:
422 9TH ST  CRESCENT CITY, CA 95531-3430 US
Tel: 707-464-8451  Fax: 707-458-3074

Registration Information:
NPI: 1659433233
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC18052

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LMFT LICENSEMFC18052CA01




HEALTH CARE JOBS CA - Page 1



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