Individual
CLARISHA L BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2 E 59TH ST, KANSAS CITY, MO 64113-2116
(816) 363-1898
Mailing address
405 WOODBRIDGE LN, KANSAS CITY, MO 64145-1332
(816) 507-0683
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018033189
MO
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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