Individual
MRS. KERRIE DEE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
UNDER LPC SUPERVISIO
Contact information
Practice address
1511 CHRISTY DR, JEFFERSON CITY, MO 65101-2854
(573) 632-2777
(918) 647-2282
Mailing address
3111 B N BROADWAY, POTEAU, OK 74953
(918) 647-2262
(918) 647-2282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SUPERVISION
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123440A
—
OK
Enumeration date
03/02/2010
Last updated
08/08/2024
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