Individual
MR. MATTHEW MORGAN BLANDFORD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MATS
Contact information
Practice address
1060 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 283-7116
Mailing address
1060 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 283-7116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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