REGALIA LYN BLAKE

SAN JACINTO, CA
NPI1598434821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1441980821)
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
Ms. REGALIA LYN BLAKE RADT
2391 WARREN RD
SAN JACINTO, CA 92582
Phone number: 951-390-2267
Mailing Address
Ms. REGALIA LYN BLAKE RADT
2391 WARREN RD
SAN JACINTO, CA 92582
Phone number: 951-390-2267