Provider Demographics
NPI:1821657883
Name:BLAIR, APRIL LORISA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LORISA
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2410
Mailing Address - Country:US
Mailing Address - Phone:310-488-9796
Mailing Address - Fax:
Practice Address - Street 1:15300 VENTURA BLVD STE 328
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3152
Practice Address - Country:US
Practice Address - Phone:310-488-9796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113278106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist