Stephanie Blalock
NPI #1972036499 in Marina, California
Provider Information
- NPI Number
- 1972036499
- Entity Type
- Individual
- Name
- Stephanie Blalock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 11, 2017
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 617 BAYONET CIRCLE
- City
- Marina
- State
- California
- ZIP Code
- 93933
- Phone
- (831) 384-7251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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