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CHAD ANTHONY BLANCHARD
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1124573779
Individual Registrant: CHAD ANTHONY BLANCHARD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
7204 SKYWAY PARADISE, CA 95969-3280 US
Tel: 530-877-7196 Fax: 530-894-5971
Tel: 530-877-7196 Fax: 530-894-5971
Contact information for business:
7204 SKYWAY PARADISE, CA 95969-3280 US
Tel: 530-877-7196 Fax: 530-894-5971
Tel: 530-877-7196 Fax: 530-894-5971
Registration Information:
NPI: 1124573779
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
