Individual
JEFFREY BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2426 E PIERCETON RD, WINONA LAKE, IN 46590-5713
(574) 269-7990
Mailing address
312 1/2 S. 5TH STREET, APARTMENT B, GOSHEN, IN 46528
(574) 329-3984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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