Jerry A. Blecha L.C.P.C.

NPI 1396822367 - Counselor - 101YM0800X

NPI Details
NPI 1396822367
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
404 SEAFARER DR
THIRD LAKE IL, 60030-2609, US
Phone (224) 406-4577
Fax
Business Location
135 N GREENLEAF ST
SUITE 201
GURNEE IL, 60031-3393, US
Phone (224) 406-4577
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Jerry A. Blecha L.C.P.C. NPI is 1396822367, taxonomy code is 101YM0800X Jerry A. Blecha L.C.P.C. physically located at 404 Seafarer Dr, Third Lake IL, 60030-2609. NPI Number Jerry A. Blecha L.C.P.C. has the Individual type.

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1396822367 NPI number is provided on an as is basis without warranty of any kind. 1396822367 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry A. Blecha L.C.P.C. are for informational purposes only.