Jonathan L Blanchard
Counselor, Addiction (Substance Use Disorder) in Tewksbury, MA. Individual provider (NPI-1).
NPI number1740856418
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1740856418
- Entity type
- Individual (NPI-1)
- Name
- Jonathan L Blanchard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2021
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
365 East StTewksbury, MA 01876-1950
Phone 203-518-8678
Mailing address
365 East StTewksbury, MA 01876-1950
Phone 203-518-8678
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