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1295515229
BLAKE SCHALLER
PASADENA, CA
NPI
1295515229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D9707467)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
BLAKE SCHALLER
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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Mailing Address
BLAKE SCHALLER
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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