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NPI Code Detail

MEDICARE: JESSICA N. BLAND MA

MEDICARE: JESSICA N. BLAND MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1518450725
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA N. BLAND MA
Provider Business Mailing Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 734-478-7358
Fax Number :
Provider Business Practice Location Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 344-787-3587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 02/01/2024

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