Individual provider · Type 1 NPI

Jessica Louise Blodgett, LLPC

Mental Health Counselor · Waterford, MI

NPI number 1780158170 Active

Practice location

4576 W Walton Blvd
Waterford, MI 48329-4905

Mailing address

13730 S 28th St
Vicksburg, MI 49097-9304

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401017014 (MI)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1780158170

Jessica Louise Blodgett, LLPC's National Provider Identifier is 1780158170, issued on Jan 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterford, MI. The record was last updated on Jan 18, 2019.