Individual provider · Type 1 NPI

Jesse Blaschuk

Mental Health Counselor · Peoria, IL

NPI number 1114840139 Active

Practice location

2610 W Richwoods Blvd
Peoria, IL 61604-7112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114840139

Jesse Blaschuk's National Provider Identifier is 1114840139, issued on Aug 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Aug 4, 2026.