Individual
MRS. CRYSTAL RENEE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LCPC
Contact information
Practice address
155 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(410) 604-0226
(877) 643-0126
Mailing address
201 PIGPEN POINT RD, QUEENSTOWN, MD 21658-1158
(410) 304-2449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7615
MD
Other
Enumeration date
01/26/2017
Last updated
03/02/2017
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