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Individual

CHENA BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
110 HABERSHAM DR, SUITE 109, FAYETTEVILLE, GA 30214-1381
(678) 829-2523
Mailing address
110 HABERSHAM DR, SUITE 109, FAYETTEVILLE, GA 30214-1381
(678) 829-2523

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007687
GA

Other

Enumeration date
07/20/2015
Last updated
07/20/2015
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