Organization
BLASH COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MAE BROOKS (OFFICE COORDINATOR)
(314) 503-1746
Entity
Organization
Contact information
Practice address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
(314) 503-1746
Mailing address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
(314) 503-1746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015009900
MO
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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