Most Relevant Information
Provider Data
| NPI Number: | 1003547209 |
| Provider Name: | CAROLYN FOX BLAKEMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 137793 |
Most Important Dates
| Enumeration Date: | 06/20/2022 |
| Last Updated: | 04/20/2023 |
Provider Practice Location
2230 W CHAPMAN AVE
ORANGE
CA
928682316
Practice Location Phone/Fax
| Phone: | 8053230270 |
| Fax: |
Provider Mailing Location
2230 W CHAPMAN AVE # 209
ORANGE
CA
928682316
Provider Mailing Phone/Fax
| Phone: | 3236570270 |
| Fax: |