Provider Demographics
NPI:1437423118
Name:BLESSING, MARY
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:BLESSING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 MUIRHEAD CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1668
Mailing Address - Country:US
Mailing Address - Phone:630-369-1733
Mailing Address - Fax:
Practice Address - Street 1:704 MUIRHEAD CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1668
Practice Address - Country:US
Practice Address - Phone:630-369-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor