Ilene Blaisch
NPI #1104155290 in San Clemente, California
Provider Information
- NPI Number
- 1104155290
- Entity Type
- Organization
- Organization Name
- Ilene Blaisch
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 18, 2009
- Last Updated
- Dec 18, 2009
Practice Location
- Address
- 161 AVENIDA CABRILLO
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4040
- Phone
- (949) 910-5654
Authorized Official
- Name
- MS. ILENE BLAISCH, LCSW
- Title
- PSYCHOTHERAPIST
- Phone
- (949) 910-5654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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