Individual
TRAVIS ALLISON BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., PLPC
Contact information
Practice address
1117 KIRKMAN ST, LAKE CHARLES, LA 70601-5317
(337) 414-8379
Mailing address
5000 LEON DR TRLR 136, LAKE CHARLES, LA 70605-6441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC11289
LA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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