person
Misty Lee Bliven
Professional Counselor in Quincy, Illinois
NPI 1760021232

Misty Lee Bliven is a Professional Counselor based in Quincy, IL and is specialized in Professional. Misty Lee Bliven practices in Quincy, IL. The NPI Number for Misty Lee Bliven is 1760021232 and holds a License No. 180.008677 (Illinois).

The current practice location address for Misty Lee Bliven is 915 Vermont St, Quincy, IL and can be reached out via phone at 217-222-8254 and via fax at 217-222-4512. You can also correspond with Misty Lee Bliven through the mailing address at 915 VERMONT ST, QUINCY, IL - 62301-3049 (mailing address contact number: 217-222-8254).

Location: 915 Vermont St, Quincy, IL, 62301-3049
person
Provider Profile Details
NPI Number
1760021232
Provider Name
Misty Lee Bliven
Credential
Provider Entity Type
Individual
Gender
Female
Address
915 Vermont St, Quincy, IL, 62301-3049
Phone Number
217-222-8254
Fax Number
217-222-4512
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
915 Vermont St
City
State
Zip
62301-3049
Phone Number
217-222-8254
Fax Number
217-222-4512
person
Provider Business Mailing Address Details
Address
915 Vermont St
City
State
Zip
62301-3049
Phone Number
217-222-8254
Fax Number
217-222-4512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.008677 (Illinois)
Definition
Definition to come...
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