Individual
JAMES EDWARD BLISSENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420-1402
(952) 854-5034
Mailing address
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420-1402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03491
MN
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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