BLAKE ELDON CRAWFORD

UPLAND, CA
NPI1487030862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  136036)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  AMFT86176)
106H00000X Marriage & Family Therapist
(Licence: CA  AMFT125194)
Enumeration Date2015-08-07
Last Update Date2023-01-10
Business Address
BLAKE ELDON CRAWFORD
1425 W FOOTHILL BLVD
UPLAND, CA 91786-8007
Phone number: 909-980-6700
Mailing Address
BLAKE ELDON CRAWFORD
27261 LAS RAMBLAS STE 220
MISSION VIEJO, CA 92691-6468
Phone number: 877-527-7227