MEDICARE: KRISTEN BLESSING

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ICDC.141158	OH
2	1041C0700X	Clinical Social Worker	I.1451421	OH

General Provider Information

NPI Number	:	1144616582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN BLESSING

Provider Business Mailing Address
First Line	:	3244 CHASENWOOD WAY
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-6942
Country	:	US
Telephone Number	:	567-218-1207
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 W SOUTH BOUNDARY ST
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-5102
Country	:	US
Telephone Number	:	567-218-1207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	10/09/2025

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Directions to “ KRISTEN BLESSING ” Practice Location

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