Doctor Name: | MRS. DIANA BLAS |
NPI Number: | 1477683647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ASW |
License Number: | ASW 27684 |
Business Practice Address: | 144 South L Street Dinuba, CA - 93618 |
Business Phone Number: | 5595916680 |
Business Fax Number: | 5595916684 |
Mailing Address: | 144 South L Street, DINUBA |
State: | CA |
Postal Code: | 93618 |
Phone Number: | 5595916680 |
Fax Number: | 5595916684 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ASW 27684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |