Individual provider · Type 1 NPI

Amanda Bloodworth, LPC

Professional Counselor · St. Louis, MO

NPI number 1164819264 Active

Practice location

10024 Office Center Ave, Ste 100
St. Louis, MO 63128-1381

Call (314) 729-7050 Map

Fax (314) 729-0920

Mailing address

900 E Laharpe St
Kirksville, MO 63501-4520

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2013000465 (MO)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1164819264

Amanda Bloodworth, LPC's National Provider Identifier is 1164819264, issued on Apr 16, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Apr 16, 2015.