Individual provider · Type 1 NPI

Michael Blanchard, LADC-II

Addiction (Substance Use Disorder) Counselor · Brewster, MA

NPI number 1104178219 Active

Practice location

745 Harwich Rd
Brewster, MA 02631-2536

Mailing address

PO Box 852
Brewster, MA 02631-0852

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2277 (MA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104178219

Michael Blanchard, LADC-II's National Provider Identifier is 1104178219, issued on Oct 12, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brewster, MA. The record was last updated on Oct 12, 2012.