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NPI Code Detail

MEDICARE: SUSAN A BLESCH MA, LMFT

MEDICARE:   SUSAN A BLESCH  MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistT0414OR
2106H00000XMarriage & Family Therapist0839NV

General Provider Information

NPI Number : 1801860242
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN A BLESCH MA, LMFT
Provider Business Mailing Address
First Line : 10733 WOODLORE PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-5401
Country : US
Telephone Number : 702-982-0359
Fax Number : 702-380-8300
Provider Business Practice Location Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 702-691-9995
Fax Number : 702-380-8300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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Directions to “ SUSAN A BLESCH MA, LMFT” Practice Location

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