Provider Demographics
NPI:1548603277
Name:MIHEDJI, BLANCA MARGARITA (LMFT)
Entity Type:Individual
Prefix:
First Name:BLANCA
Middle Name:MARGARITA
Last Name:MIHEDJI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BLANCA
Other - Middle Name:MARGARITA
Other - Last Name:CUEVAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:CALISTOGA
Mailing Address - State:CA
Mailing Address - Zip Code:94515-0705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2751 NAPA VALLEY CORPORATE DR
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6216
Practice Address - Country:US
Practice Address - Phone:707-253-4729
Practice Address - Fax:707-259-8721
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist