Jessica J Bladt, CRM
Counselor, Addiction (Substance Use Disorder) in Bend, OR. Individual provider (NPI-1).
NPI number1508525924
StatusActive
Last updated in NPPESSep 23, 2026
Details
- NPI
- 1508525924
- Entity type
- Individual (NPI-1)
- Name
- Jessica J Bladt
- Credential
- CRM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2021
- Certification date
- Sep 23, 2026
- Last updated
- Sep 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 24-03-11071 | OR | Yes |
| 175T00000X | Peer Specialist | 21-CRM-778 | OR | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | TG-25-380 | OR |
Practice location
389 Sw Scalehouse Ct Ste 130Bend, OR 97702-3241
Phone 541-306-4446 · Fax 541-550-2011
Mailing address
389 Sw Scalehouse Ct Ste 130Bend, OR 97702-3241
Phone 541-306-4446 · Fax 541-550-2011
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All 97 Addiction (Substance Use Disorder) Counselor providers in Bend · All 6,654 providers in Bend
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