Individual
MR. MARK ALAN BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, BHRS
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, STE F, ENID, OK 73703-5653
(580) 242-4673
(580) 242-4679
Mailing address
1521 S OAKWOOD RD, ENID, OK 73703-7420
(580) 237-1494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
11/04/2011
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