NPI 1003093394

Geoff Blaylock

Practitioner Addiction (Substance Use Disorder) Counselor Santa Ana, CA

Practice location

Address: 1905 College Ave, Santa Ana, CA 92706-2334
Phone: (714) 479-0120

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1003093394
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2008
Record last updated: 29 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.