Individual
JENA BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
2619 W 6TH ST, SUITE A, LAWRENCE, KS 66049-4304
(785) 842-2752
(785) 842-2750
Mailing address
2619 W 6TH ST, SUITE A, LAWRENCE, KS 66049-4304
(785) 842-2752
(785) 842-2750
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 246
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200655560A
—
KS
Enumeration date
01/20/2006
Last updated
04/28/2011
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