| NPI | 1164172185 |
|---|---|
| Doing Business As | JACQUE BLISS INTEGRATIVE PSYCHIATRY |
| Doing Business As | JACQUE BLISS |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BLISS BOONE Owner/CEO 804-847-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-01-21 |