Individual
JESSICA BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 E MAPLE AVE, ENID, OK 73701-4505
(580) 395-0725
Mailing address
1914 E MAPLE AVE, ENID, OK 73701-4505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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