BLAKE JAMES CORONADO

STOCKTON, CA
NPI1194482703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106H00000X Marriage & Family Therapist
104100000X Social Worker
Enumeration Date2021-11-18
Last Update Date2021-11-18
Business Address
BLAKE JAMES CORONADO
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-271-3218
Mailing Address
BLAKE JAMES CORONADO
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-271-3218