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Sharayza Rachael Blakemore, LMFT, MBA

Marriage & Family Therapist in Ontario, CA. Individual provider (NPI-1).

NPI number1154960367
StatusActive
Last updated in NPPESOct 3, 2024

Details

NPI
1154960367
Entity type
Individual (NPI-1)
Name
Sharayza Rachael Blakemore
Credential
LMFT, MBA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2020
Certification date
Oct 3, 2024
Last updated
Oct 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist150151CAYes

Practice location

3491 Concours
Ontario, CA 91764-5916

Phone 909-284-4504

Mailing address

12777 Royal Palm Ln
Riverside, CA 92503-7077

Phone 909-441-1904

Other practice locations

12821 Newport Ave
Tustin, CA 92780-2711

Phone 714-910-3648

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