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Individual

DR. BRUCE D BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LPC

Contact information

Practice address
128 W. 14TH STREET,, SUITE 202, DURANGO, CO 81301
(970) 946-3486
(970) 884-0391
Mailing address
PO BOX 244, BAYFIELD, CO 81122-0244
(970) 946-3486
(970) 884-0391

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
483
CO

Other

Enumeration date
04/19/2012
Last updated
07/22/2014
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