Individual
SHELLY JEAN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1531 E BRADFORD PKWY STE 305, SPRINGFIELD, MO 65804-6539
(563) 422-8472
Mailing address
1531 E BRADFORD PKWY STE 305, SPRINGFIELD, MO 65804-6539
(563) 422-8472
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1793
MN
106H00000X
Marriage & Family Therapist
Primary
2024048329
MO
Other
Enumeration date
08/07/2015
Last updated
04/09/2026
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