Individual provider · Type 1 NPI

Stephanie Blalock

Mental Health Counselor · Marina, CA

NPI number 1972036499 Active

Practice location

617 Bayonet Circle
Marina, CA 93933

Call (831) 384-7251 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972036499

Stephanie Blalock's National Provider Identifier is 1972036499, issued on Apr 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marina, CA. The record was last updated on Apr 11, 2017.