Individual
IRA N BLANCHARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 755-5933
(205) 755-8882
Mailing address
PO BOX 689, CALERA, AL 35040-0689
(205) 755-8800
(205) 755-8882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
711
AL
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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