Organization
DANIEL L. BLASH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L BLASH PHD, LPC, NCC, ACS (SOLE MEMBER)
(314) 265-7014
Entity
Organization
Contact information
Practice address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
(417) 860-2984
Mailing address
1454 WOODPATH DR, FLORISSANT, MO 63031-1163
(417) 860-2984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2006005129
MO
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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