| Jaclyn Blythe, | |
|
5335 Craner Ave, North Hollywood, CA 91601-3313 | |
| (203) 243-9400 | |
| Not Available |
| Full Name | Jaclyn Blythe |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 5335 Craner Ave, North Hollywood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306634928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CI45401224 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Blythe, 5335 Craner Ave, North Hollywood, CA 91601-3313 Ph: (203) 243-9400 | Jaclyn Blythe, 5335 Craner Ave, North Hollywood, CA 91601-3313 Ph: (203) 243-9400 |
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