Individual provider · Type 1 NPI
Jessica Marie Burgos Bland
Peer Specialist · Ashtabula, OH
NPI number
1487452314
Active
Practice location
3211 Glover Dr
Ashtabula, OH 44004-8963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.192522 (OH) |
| Peer Specialist Primary | 175T00000X | APS.006098 (OH) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1487452314
Jessica Marie Burgos Bland's National Provider Identifier is 1487452314, issued on Mar 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ashtabula, OH. The record was last updated on Jul 15, 2025.