Individual
CHEREEN RENEE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Mailing address
1927 WALNUT GROVE LN, CENTRAL POINT, OR 97502-3559
(541) 326-9201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/25/2022
Last updated
07/25/2024
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