Nathan Allen Blasa, LCSW
NPI #1225604499 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1225604499
- Entity Type
- Individual
- Name
- Nathan Allen Blasa, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 28, 2021
- Last Updated
- May 28, 2021
Practice Location
- Address
- 1006 IL-16
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052
- Phone
- (618) 310-3270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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