| Kristin Blaney, Individual & Family Therapy, Inc. | |
|
161 Avenida Cabrillo San Clemente CA 92672-4040 | |
| (949) 633-6516 | |
| Not Available |
| Full Name | Kristin Blaney, Individual & Family Therapy, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 161 Avenida Cabrillo, San Clemente, California |
| Authorized Official Name and Position | Kristin Joanna Blaney (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 9496336516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Blaney, Individual & Family Therapy, Inc. 5215 Vista De Olmo San Clemente CA 92673-7114 Ph: (949) 633-6516 | Kristin Blaney, Individual & Family Therapy, Inc. 161 Avenida Cabrillo San Clemente CA 92672-4040 Ph: (949) 633-6516 |
| NPI Number | 1609433101 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609433101 | NPI | - | NPPES |
| 1285092791 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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