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Individual

JACQUELINE BLEESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, MA, LPCC, LADC

Contact information

Practice address
200 3RD AVE NE STE 100, CAMBRIDGE, MN 55008-1298
(320) 629-7600
Mailing address
33945 UNIVERSITY AVE NE, CAMBRIDGE, MN 55008-7722

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00727
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
302937
MN
101YM0800X
Mental Health Counselor
00727
MN
101YP2500X
Professional Counselor
00727
MN

Other

Enumeration date
02/12/2014
Last updated
07/24/2025
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