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Ms. Susan Lynne Blaine, MFT
Marriage & Family Therapist in Davis, California
NPI 1174542666

Susan Lynne Blaine is a Marriage & Family Therapist based in Davis, CA. Susan Lynne Blaine practices in Davis, CA and has the professional credentials of MFT. The NPI Number for Susan Lynne Blaine is 1174542666 and holds a License No. MFC33852 (California).

The current practice location address for Susan Lynne Blaine is 1260 Lake Blvd, Davis, CA and can be reached out via phone at 530-297-1601 and via fax at 530-297-6864.

Location: 1260 Lake Blvd, Davis, CA, 95616-2614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174542666
Provider Name
Susan Lynne Blaine
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
1260 Lake Blvd, Davis, CA, 95616-2614
Phone Number
530-297-1601
Fax Number
530-297-6864
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MFC33852 01 CA BBS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1260 Lake Blvd
City
Davis
State
California
Zip
95616-2614
Phone Number
530-297-1601
Fax Number
530-297-6864
person
Provider Business Mailing Address Details
Address
1260 Lake Blvd
City
Davis
State
California
Zip
95616-2614
Phone Number
530-297-1601
Fax Number
530-297-6864
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
MFC33852 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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