Individual
PAUL TIMOTHY BLASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3898
(651) 379-5157
(651) 379-5159
Mailing address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3898
(651) 379-5157
(651) 379-5159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2026
MN
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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