Jason Blakemore, LPC
NPI #1518555218 in High Ridge, Missouri
Provider Information
- NPI Number
- 1518555218
- Entity Type
- Individual
- Name
- Jason Blakemore, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 1463 HERITAGE VALLEY DR
- City
- High Ridge
- State
- Missouri
- ZIP Code
- 63049-1167
- Phone
- (573) 819-5589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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