Organization · Type 2 NPI

New Changes LLC

Professional Counselor · De Pere, WI

NPI number 1730928532 Active

Practice location

3311 S Packerland Dr, Suite A #19
De Pere, WI 54115-9539

Fax (920) 688-4261

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Professional Counselor Primary	101YP2500X	None listed

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NPI record

NPI: 1730928532
Entity type: Organization (Type 2)
Issued: May 21, 2024
Last updated: May 21, 2024
Status: Active
Subpart: Yes of New Changes LLC

Other names

New Changes LLC Counseling · doing business as

Authorized official

Bobbie Jo Lee Bleser, LPC, CSAC
Owner/psychologist
(920) 530-4433

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About NPI 1730928532

New Changes LLC's National Provider Identifier is 1730928532, issued on May 21, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in De Pere, WI. The record was last updated on May 21, 2024.