Individual
ISAAC CORBAN BLECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
12801 FLUSHING MEADOWS DR STE 250, SAINT LOUIS, MO 63131-1829
(314) 325-9237
Mailing address
12801 FLUSHING MEADOWS DR STE 250, SAINT LOUIS, MO 63131-1829
(314) 325-9237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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