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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.192522 (OH)
Peer Specialist Primary 175T00000XAPS.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.