MS. Vida Lorraine Blakely, MFTT is a student in an organized health care education training program in Modesto, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. Vida Lorraine Blakely, MFTT NPI is 1316116171. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1700 MCHENRY VILLAGE WAY
SUITE11
MODESTO, CA
ZIP 95350-308
Phone: (209) 526-1476
Fax: (209) 526-0908
The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.