Jamie Blanco
NPI #1063988699 in La Verne, California
Provider Information
- NPI Number
- 1063988699
- Entity Type
- Individual
- Name
- Jamie Blanco
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 22, 2018
- Last Updated
- Dec 8, 2022
Practice Location
- Address
- 1940 BASELINE RD
- City
- La Verne
- State
- California
- ZIP Code
- 91750-2148
- Phone
- (909) 392-1344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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