Individual provider · Type 1 NPI

Melinda Blaise

Mental Health Counselor · San Diego, CA

NPI number 1306016605 Active

Practice location

1202 Morena Blvd, Suite 300
San Diego, CA 92110-3841

Call (619) 239-4633 Map

Fax (619) 275-5069

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1306016605

Melinda Blaise's National Provider Identifier is 1306016605, issued on Mar 3, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Mar 3, 2008.