Individual
MR. GARY NORMAN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC1
Contact information
Practice address
4 SOUTH ST, WARE, MA 01082-1651
(413) 627-9749
Mailing address
683 DOUGLAS RD, WEST BROOKFIELD, MA 01585-6048
(413) 627-9749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2188
MA
Other
Enumeration date
11/23/2007
Last updated
12/30/2009
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