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James Edward Blissenbach, MA,LPCC
Mental Health Counselor in Bloomington, Minnesota
NPI 1922721422

James Edward Blissenbach is a Mental Health Counselor based in Bloomington, MN and is specialized in Mental Health. James Edward Blissenbach practices in Bloomington, MN and has the professional credentials of MA,LPCC. The NPI Number for James Edward Blissenbach is 1922721422 and holds a License No. CC03491 (Minnesota).

The current practice location address for James Edward Blissenbach is 1101 E 78Th St Ste 100, Bloomington, MN and can be reached out via phone at 952-854-5034.

Location: 1101 E 78Th St Ste 100, Bloomington, MN, 55420-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922721422
Provider Name
James Edward Blissenbach
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Male
Address
1101 E 78Th St Ste 100, Bloomington, MN, 55420-1402
Phone Number
952-854-5034
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 E 78Th St Ste 100
City
Bloomington
State
Minnesota
Zip
55420-1402
Phone Number
952-854-5034
Fax Number
person
Provider Business Mailing Address Details
Address
1101 E 78Th St Ste 100
City
Bloomington
State
Minnesota
Zip
55420-1402
Phone Number
952-854-5034
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CC03491 (Minnesota)
Definition
Definition to come...
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