Blazen, Jean

Blazen, Jean is an sole proprietor health care provider with primary practice located at 2055 Kellogg Ave Fl 2 , Corona CA 92879-3111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blazen, Jean can be contacted via phone (951) 898-7138.

Contact Information

Primary practice address
2055 Kellogg Ave Fl 2 Corona CA 92879-3111
Phone: (951) 898-7138
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22498 California

Profile Details

NPI number 1417153081
LBN Legal business name Blazen, Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated Oct 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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