SearchCaliforniaCounselor

Ian Blair

NPI 1699581330 · on the registry since 2024

Practice

Address
10090 Highway 9 Ste 6
Ben Lomond, CA 95005
Phone
(831) 704-6851
Organisation at this address
Supernatural Beauty & Aesthetics Medical Group, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Counselor
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-07

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