Individual
MR. BRYAN J. BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
245 CINDY ST, THIBODAUX, LA 70301-5801
(985) 313-1025
(985) 313-1025
Mailing address
245 CINDY ST, THIBODAUX, LA 70301-5801
(985) 313-1025
(985) 313-1025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2438
LA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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