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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER LEE BLASE, LPT

Active Sole Proprietor

JENNIFER LEE BLASE, LPT is a Behavioral Health Technician healthcare provider located in FRENCH CAMP, California. NPI 1669718433 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health Technician · FRENCH CAMP, CA

Registration Details

NPI Number
1669718433
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2012 (13.628206237996 yrs)
Last Updated
Dec 21, 2012
License
PT20194 (CA)
Sole Proprietor
Yes

Practice Information

Address
7000 MICHAEL CANLIS WAY
FRENCH CAMP, CA, 952319781
Browse CA providers · Browse ZIP 95231
Phone
2094684550
Primary Specialty
Behavioral Health Technician
374700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.