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Individual

BRYANT BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
251 REES ST, BREAUX BRIDGE, LA 70517-4611
(337) 442-6823
(337) 442-6825
Mailing address
251 REES ST, BREAUX BRIDGE, LA 70517-4611
(337) 442-6823
(337) 442-6825

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/06/2020
Last updated
02/13/2020
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