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Jessica J Bladt, CRM
Peer Specialist in Prineville, Oregon
NPI 1508525924

Jessica J Bladt is a Peer Specialist based in Madras, OR. Jessica J Bladt practices in Prineville, OR and has the professional credentials of CRM. The NPI Number for Jessica J Bladt is 1508525924 and holds a License No. 21-CRM-778 (Oregon).

The current practice location address for Jessica J Bladt is 1103 Ne Elm St, Prineville, OR and can be reached out via phone at 541-306-4566 and via fax at 541-320-9005.

Location: 1103 Ne Elm St, Prineville, OR, 97741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508525924
Provider Name
Jessica J Bladt
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
1103 Ne Elm St, Prineville, OR, 97741
Phone Number
541-306-4566
Fax Number
541-320-9005
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1103 Ne Elm St
City
Prineville
State
Oregon
Zip
97754-1664
Phone Number
541-306-4566
Fax Number
541-320-9005
person
Provider Business Mailing Address Details
Address
1103 Ne Elm St
City
Prineville
State
Oregon
Zip
97754-1664
Phone Number
541-306-4566
Fax Number
541-320-9005
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-CRM-778 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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