Individual
JOSHUA PAUL BLESKACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4076 KOTHLOW AVE, MENOMONIE, WI 54751-3090
(715) 235-4537
(715) 235-4535
Mailing address
4076 KOTHLOW AVE, MENOMONIE, WI 54751-3090
(715) 235-4537
(715) 235-4535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18040
WI
101YM0800X
Mental Health Counselor
Primary
3617
WI
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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