Individual
RONALD DEAN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, LCMHCA
Contact information
Practice address
1405A S GLENBURNIE RD, NEW BERN, NC 28562-2603
(252) 638-7875
(252) 638-7586
Mailing address
114 WOODCROFT CT, NEW BERN, NC 28562-9140
(910) 382-4120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1206
NC
101YM0800X
Mental Health Counselor
A15464
NC
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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