BLAKE JORGENSEN

SAN RAFAEL, CA
NPI1942703293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  119308)
Enumeration Date2018-03-13
Last Update Date2020-06-15
Business Address
BLAKE JORGENSEN LMFT
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903-1504
Phone number: 415-507-2000
Mailing Address
BLAKE JORGENSEN LMFT
PO BOX 780
ROSS, CA 94957-0780
Phone number: 415-870-3187
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