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General NPI Number Information
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NPI Number | 1255640033
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Entity Type | Individual
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Provider Name | BOBBIE JO LEE BLESER CSAC, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3311 PACKERLAND DR STE A19
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City | DE PERE
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State | WI
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Zip | 54115-9540
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Country | US
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Telephone | 920-530-4433
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Fax | 920-688-4261
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Provider Business Mailing Address
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Address Line | 3311 PACKERLAND DR STE A19
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City | DE PERE
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State | WI
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Zip | 54115-9540
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Country | US
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Telephone | 920-530-4433
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Fax | 920-688-4261
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15790-132
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15690-130
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5495-125
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License Number State | WI
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