Blakemore, Jason
Blakemore, Jason is an sole proprietor health care provider with primary practice located at 1463 Heritage Valley Dr , High Ridge MO 63049-1167. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Blakemore, Jason can be contacted via phone (573) 819-5589.Contact Information
Primary practice address
1463 Heritage Valley Dr
High Ridge MO 63049-1167
Phone: (573) 819-5589
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2014044619 | Missouri |
Profile Details
| NPI number | 1518555218 |
|---|---|
| LBN Legal business name | Blakemore, Jason |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2021 |
| Last updated | Jan 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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