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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent and Children Mental Health |
261QM0855X |
| NPI # | 1306253067 |
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| LBN Legal business name | HEATHER BLACKMORE MA LMFTA | ||||
| Authorized official | HEATHER BLACKMORE - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/15/2014 | ||||
| Last updated | 07/15/2014 - About 12 years ago | ||||
| Identifiers |
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HEATHER BLACKMORE MA LMFTA
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HEATHER BLACKMORE MA LMFTA