Individual
MRS. RACHEL MICHELLE BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS. CADC UNDER SUP.
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
(580) 225-5138
Mailing address
PO BOX 152, CANUTE, OK 73626-0152
(580) 821-4620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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