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Organization

GUARDIAN COUNSELING CENTER

Active
Other names
2KB LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH R BLANCHARD LPC, CSOTP (LICENSED PROFESSIONAL COUNSELOR)
(434) 420-1930
Entity
Organization

Contact information

Practice address
117A TRADEWYND DR, LYNCHBURG, VA 24502-3112
(434) 420-1930
Mailing address
110 BRADDOCK DR, FOREST, VA 24551-1350
(434) 420-1930

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568708733
NPPES
Enumeration date
03/20/2019
Last updated
03/20/2019
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