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
ZIP Code
63049-1167
Phone
(573) 819-5589

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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