Individual provider · Type 1 NPI

Ethan Blair, MA, PLPC

Counselor · St. Joseph, MO

NPI number 1194402586 Active

Practice location

724 N 22nd St
St. Joseph, MO 64506-2604

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X2023025977 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194402586

Ethan Blair, MA, PLPC's National Provider Identifier is 1194402586, issued on Jun 28, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Joseph, MO. The record was last updated on Jun 28, 2023.