Ilene Blaisch
Ilene Blaisch is a Community/Behavioral Health Agency in San Clemente, California. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
161 Avenida CabrilloSan Clemente, CA 92672-4040
Phone: (949) 910-5654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1104155290 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ilene Blaisch — Psychotherapist · (949) 910-5654 |
| NPI enumerated | December 18, 2009 |
| Last updated in NPPES | December 18, 2009 |
| Mailing address | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 |
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