Individual
ANTHONY BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1337
Mailing address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20100060000
MO
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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