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PAMELA KAY BLACKWELL
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1740376532
Individual Registrant: PAMELA KAY BLACKWELL
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
162 GROVE ST STE J BISHOP, CA 93514-2652 US
Tel: 760-873-6533 Fax: 760-873-3277
Tel: 760-873-6533 Fax: 760-873-3277
Contact information for business:
162 GROVE ST STE J BISHOP, CA 93514-2652 US
Tel: 760-873-6533 Fax: 760-873-3277
Tel: 760-873-6533 Fax: 760-873-3277
Registration Information:
NPI: 1740376532
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 19310 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
