person
Ms. Stephanie Ann Bloesch, MFT
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1932267366

Stephanie Ann Bloesch is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Stephanie Ann Bloesch practices in San Rafael, CA and has the professional credentials of MFT. The NPI Number for Stephanie Ann Bloesch is 1932267366 and holds a License No. MFC41505 (California).

The current practice location address for Stephanie Ann Bloesch is 171 Carlos Dr, San Rafael, CA and can be reached out via phone at 415-755-2310 and via fax at 415-755-2210. You can also correspond with Stephanie Ann Bloesch through the mailing address at 171 CARLOS DR, SAN RAFAEL, CA - 94903-2005 (mailing address contact number: 415-755-2310).

Location: 171 Carlos Dr, San Rafael, CA, 94903-2005
person
Provider Profile Details
NPI Number
1932267366
Provider Name
Stephanie Ann Bloesch
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
171 Carlos Dr, San Rafael, CA, 94903-2005
Phone Number
415-755-2310
Fax Number
415-755-2210
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2109 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
171 Carlos Dr
City
State
Zip
94903-2005
Phone Number
415-755-2310
Fax Number
415-755-2210
person
Provider Business Mailing Address Details
Address
171 Carlos Dr
City
State
Zip
94903-2005
Phone Number
415-755-2310
Fax Number
415-755-2210
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MFC 41505 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFC41505 (California)
Definition
Definition to come...
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