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Organization

NEW CHANGES LLC

Active
Parent organization
NEW CHANGES LLC
Other names
NEW Changes LLC Counseling
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW CHANGES LLC
Authorized official
BOBBIE JO LEE BLESER LPC, CSAC (OWNER/PSYCHOLOGIST)
(920) 530-4433
Entity
Organization

Contact information

Practice address
3311 S PACKERLAND DR, SUITE A #19, DE PERE, WI 54115-9539
(920) 530-4433
(920) 688-4261
Mailing address
3311 S PACKERLAND DR, SUITE A #19, DE PERE, WI 54115-9539
(920) 530-4433
(920) 688-4261

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10021415
WI
Enumeration date
05/21/2024
Last updated
05/21/2024
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