Individual
DR. JUDSON R BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCSW
Contact information
Practice address
500 CLARK AVE, ST A, UNION, MO 63084-1004
(636) 583-1800
(636) 583-0836
Mailing address
5 PREMIER DR STE 200, FENTON, MO 63026-2943
(314) 544-3800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002010
MO
1041C0700X
Clinical Social Worker
2007019560
MO
Other
Enumeration date
06/26/2007
Last updated
07/08/2024
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