Individual
CHAD DOUGLAS BLOUNT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 N RITTER AVE, INDIANAPOLIS, IN 46218-4904
(317) 355-3104
Mailing address
8180 CLEARVISTA PKWY, 230, INDIANAPOLIS, IN 46256-5629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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