Organization
NEW CHANGES LLC
Active
Other names
NEW Changes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBIE JO L BLESER LPC, CSAC (OWNER/PSYCHOTHERAPIST)
(920) 530-4433
Entity
Organization
Contact information
Practice address
3311 PACKERLAND DR STE A, #19, DE PERE, WI 54115-9539
(920) 530-4433
(920) 688-4261
Mailing address
2373 YOLANDA CIR, GREEN BAY, WI 54303-6202
(920) 676-6447
(920) 688-4261
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021415
—
WI
Enumeration date
05/16/2024
Last updated
05/16/2024
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