Individual
MICHAEL BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC-II
Contact information
Practice address
745 HARWICH RD, BREWSTER, MA 02631-2536
(774) 994-0412
Mailing address
PO BOX 852, BREWSTER, MA 02631-0852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2277
MA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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