Individual
GERARDO BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC
Contact information
Practice address
9477 FT WORTH DR, RANCH HAND RESCUE, DENTON, TX 76226-9371
(940) 240-0500
Mailing address
4525 LEMMON AVE, SUITE 200, DALLAS, TX 75219-2145
(214) 526-4525
(214) 520-6468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201808
TX
106H00000X
Marriage & Family Therapist
68742
TX
Other
Enumeration date
10/29/2012
Last updated
06/14/2021
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