SearchIllinois1041C0700X

Nathan Blasa, LCSW

NPI 1225604499 · on the registry since 2021

Practice

Address
1006 Il-16
Jerseyville, IL 62052
Phone
(618) 310-3270

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois