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LUISA E BLANDINO

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063785848

Individual Registrant:
 LUISA E BLANDINO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
233 W. BASELINE RD BOX 400 LA VERNE, CA 91750 US
Tel: 909-833-2986  Fax: 909-833-2998

Contact information for business:
233 W. BASELINE RD 400 LA VERNE, CA 91750 US
Tel: 909-833-2986  Fax: 909-833-2998

Registration Information:
NPI: 1063785848
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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