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Shawntal Renee Blevins
Mental Health Counselor in San Mateo, California
NPI 1891497285

Shawntal Renee Blevins is a Mental Health Counselor based in San Mateo, CA and is specialized in Mental Health. Shawntal Renee Blevins practices in San Mateo, CA. The NPI Number for Shawntal Renee Blevins is 1891497285 and holds a License No. (California).

The current practice location address for Shawntal Renee Blevins is 1080 Marina Village Parkway, San Mateo, CA and can be reached out via phone at 650-539-0340.

Location: 1080 Marina Village Parkway, San Mateo, CA, 94403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891497285
Provider Name
Shawntal Renee Blevins
Credential
Provider Entity Type
Individual
Gender
Female
Address
1080 Marina Village Parkway, San Mateo, CA, 94403
Phone Number
650-539-0340
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1080 Marina Village Parkway
City
San Mateo
State
California
Zip
94403
Phone Number
650-539-0340
Fax Number
person
Provider Business Mailing Address Details
Address
1080 Marina Village Parkway
City
San Mateo
State
California
Zip
94403
Phone Number
650-539-0340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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