Jerry A. Blecha, MS, LCPC, CADC
Counselor, Mental Health in Gurnee, IL. Individual provider (NPI-1).
NPI number1396822367
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1396822367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerry A. Blecha
- Credential
- MS, LCPC, CADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2006
- Certification date
- Jan 3, 2022
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 180-001987 | IL | Yes |
Practice location
135 N. Greenleaf#212
Gurnee, IL 60031
Phone 224-398-3117
Mailing address
135 N. Greenleaf#212
Gurnee, IL 60031
Phone 224-398-3117
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