Individual
MELISSA A BLANKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
4705 MEIJER CT, LAFAYETTE, IN 47905-4684
(765) 701-6060
(765) 701-6061
Mailing address
14 N 22ND ST, LAFAYETTE, IN 47904-3002
(765) 430-2815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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