MS. Lola Blevins, MFT
NPI #1336673821 in Pine Grove, California
Provider Information
- NPI Number
- 1336673821
- Entity Type
- Individual
- Name
- MS. Lola Blevins, MFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT
- Enumeration Date
- Apr 12, 2017
- Last Updated
- Sep 22, 2018
Practice Location
- Address
- 19881 CA 88
- Address 2
- UNIT 2
- City
- Pine Grove
- State
- California
- ZIP Code
- 95665
- Phone
- (209) 304-8821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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