Individual
MRS. JANET LAVADA BLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1103 E SOUTH ST, HARRISONVILLE, MO 64701-3449
(816) 887-0258
(816) 887-0258
Mailing address
1103 E SOUTH ST, HARRISONVILLE, MO 64701-3449
(816) 887-0258
(816) 887-0258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004037128
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497199604
—
MO
Enumeration date
01/17/2009
Last updated
01/17/2009
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