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Mrs. Blake Kristol Baum
Professional Counselor in San Diego, California
NPI 1184932949

Blake Kristol Baum is a Professional Counselor based in San Diego, CA and is specialized in Professional. Blake Kristol Baum practices in San Diego, CA. The NPI Number for Blake Kristol Baum is 1184932949 and holds a License No. 5795 (California).

The current practice location address for Blake Kristol Baum is 9466 Black Mountain Rd Ste 100, San Diego, CA and can be reached out via phone at 858-689-2027.

Location: 9466 Black Mountain Rd Ste 100, San Diego, CA, 92126-4550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184932949
Provider Name
Blake Kristol Baum
Credential
Provider Entity Type
Individual
Gender
Female
Address
9466 Black Mountain Rd Ste 100, San Diego, CA, 92126-4550
Phone Number
858-689-2027
Fax Number
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9466 Black Mountain Rd Ste 100
City
San Diego
State
California
Zip
92126-4550
Phone Number
858-689-2027
Fax Number
person
Provider Business Mailing Address Details
Address
9466 Black Mountain Rd Ste 100
City
San Diego
State
California
Zip
92126-4550
Phone Number
858-689-2027
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5795 (California)
Definition
Definition to come...
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