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Susan Blaine, MFT

NPI 1174542666 · on the registry since 2006 · sole proprietor

Practice

Address
1260 Lake Blvd
Suite 243
Davis, CA 95616
Phone
(530) 297-1601
Fax
(530) 297-6864
Organisation at this address
Breakthrough Education Support
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Marriage & Family Therapist
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California