MARK JEFFREY BLANTON

FRESNO, CA
NPI1629255609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  8607)
Enumeration Date2008-01-22
Last Update Date2023-09-29
Business Address
MARK JEFFREY BLANTON SUDCC
4705 N SONORA AVE
FRESNO, CA 93722-3966
Phone number: 559-276-7558
Mailing Address
MARK JEFFREY BLANTON SUDCC
4705 N SONORA AVE STE 113
FRESNO, CA 93722-3965
Phone number: 559-276-7558
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