Individual
MS. JENNIFER K BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
8420 DELMAR BLVD, SUITE 300, SAINT LOUIS, MO 63124-2170
(314) 440-1283
Mailing address
390 HIGHWAY DR, SAINT CLAIR, MO 63077-1332
(314) 440-1283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008012805
MO
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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