Healthcare Provider Details

I. General information

NPI: 1801395033
Provider Name (Legal Business Name): JOSHUA PAUL BLESKACHEK LPC, SAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 OXFORD AVE
EAU CLAIRE WI
54703-5212
US

IV. Provider business mailing address

721 OXFORD AVE
EAU CLAIRE WI
54703-5212
US

V. Phone/Fax

Practice location:
  • Phone: 715-839-2300
  • Fax: 715-831-5783
Mailing address:
  • Phone: 715-839-2300
  • Fax: 715-831-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number18040
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3617
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: