Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Susan Lynne Blaine, MFT

Individual provider Marriage & Family Therapist · NPI 1174542666

MS. Susan Lynne Blaine, MFT is a Marriage & Family Therapist in Davis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

1260 Lake Blvd Ste 243
Davis, CA 95616-2614
Phone: (530) 297-1601
Fax: (530) 297-6864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC33852 (CA)

Record details

NPI number1174542666
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007

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