SHILOH BLASDEL
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1053095158- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1529 E 30TH AVE, HUTCHINSON, KS, 675021225
- Phone
- (620) 200-8538
Specialties & Taxonomies
Counselor, Professional
Primary License: KS #04216