Individual
MR. MARK ANDREW BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 SHERMAN AVE STE 402, NEW HAVEN, CT 06511-5210
(571) 554-1147
Mailing address
1567 WATERBURY RD, CHESHIRE, CT 06410-1332
(203) 491-8541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8326
CT
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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