Individual
MRS. JENNIFER LYNN BLICKENSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
310 W CENTRAL AVE, SUITE H, ANDOVER, KS 67002-9687
(316) 733-9469
(316) 733-8421
Mailing address
310 W CENTRAL AVE, SUITE H, ANDOVER, KS 67002-9687
(316) 733-9469
(316) 733-8421
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
280
KS
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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