Individual
LOUIS BLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
Mailing address
201 N BENTON ST, NEVADA, MO 64772-1715
(417) 667-3378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006034171
MO
Other
Enumeration date
02/09/2007
Last updated
07/09/2007
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