Most Relevant Information
Provider Data
| NPI Number: | 1003694266 |
| Provider Name: | HANNAH ELIZABETH BLACKMORE APCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | APCC14178 |
Most Important Dates
| Enumeration Date: | 09/19/2023 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
3020 OLD RANCH PKWY
SEAL BEACH
CA
907402765
Practice Location Phone/Fax
| Phone: | 5625687900 |
| Fax: |
Provider Mailing Location
PO BOX 163
BREA
CA
928220163
Provider Mailing Phone/Fax
| Phone: | 5623604642 |
| Fax: |