| Blair Rhodes Mft | |
|
618 N Mount Shasta Blvd Mount Shasta CA 96067-2235 | |
| (530) 925-4480 | |
| (530) 926-3450 |
| Full Name | Blair Rhodes Mft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 618 N Mount Shasta Blvd, Mount Shasta, California |
| Authorized Official Name and Position | Geoffrey Blair Rhodes (THERAPIST) |
| Authorized Official Contact | 5309254480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Rhodes Mft Po Box 122 Mount Shasta CA 96067-0122 Ph: (530) 925-4480 | Blair Rhodes Mft 618 N Mount Shasta Blvd Mount Shasta CA 96067-2235 Ph: (530) 925-4480 |
| NPI Number | 1982989620 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982989620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44077 (California) | Primary |
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