Individual
M. KATHLEEN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11042 MANCHESTER RD., KIRKWOOD, MO 63122
(314) 223-3963
(314) 596-4559
Mailing address
11042 MANCHESTER RD., KIRKWOOD, MO 63122
(314) 223-3963
(314) 596-4559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
20080117603
MO
101YP2500X
Professional Counselor
Primary
2008017603
MO
Other
Enumeration date
04/11/2016
Last updated
05/24/2018
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