Individual provider · Type 1 NPI
Jacque Blossfield, LPC
Mental Health Counselor · St. Louis, MO
NPI number
1720732928
Active
Practice location
2055 Craigshire Rd Ste 129
St. Louis, MO 63146-4012
Mailing address
7317 Zephyr Pl Apt 2W
St. Louis, MO 63143-2224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2020014199 (MO) |
Mental Health Counselor: Definition to come...
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About NPI 1720732928
Jacque Blossfield, LPC's National Provider Identifier is 1720732928, issued on Feb 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Feb 7, 2022.