Individual provider · Type 1 NPI

Theresa Blaylock, MPA

Addiction (Substance Use Disorder) Counselor · Hayward, CA

NPI number 1962844027 Active

Practice location

795 Fletcher Ln
Hayward, CA 94544-1008

Fax (510) 886-1038

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962844027

Theresa Blaylock, MPA's National Provider Identifier is 1962844027, issued on Jul 17, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayward, CA. The record was last updated on Jul 17, 2013.