Individual
JACQUE BLOSSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2055 CRAIGSHIRE RD STE 129, SAINT LOUIS, MO 63146-4012
(314) 737-0020
Mailing address
7317 ZEPHYR PL APT 2W, SAINT LOUIS, MO 63143-2224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020014199
MO
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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