Individual
KENNETH ROSS BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
117A TRADEWYND DR, LYNCHBURG, VA 24502-3112
(434) 420-1930
Mailing address
135 S SARATOGA ST, SUFFOLK, VA 23434-5322
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005382
VA
Other
Enumeration date
12/17/2012
Last updated
03/14/2019
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