| Doctor Name: | BLYTHE B MCCANCE |
| NPI Number: | 1003121955 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1307 |
| Business Practice Address: | 3001 5th St Ste. 201 Metairie, LA - 700021865 |
| Business Phone Number: | 5044914269 |
| Business Fax Number: | 5043029186 |
| Mailing Address: | 3001 5th St, Ste. 201 METAIRIE |
| State: | LA |
| Postal Code: | 700021865 |
| Phone Number: | 5044914269 |
| Fax Number: | 5043029186 |
| NPI Enumeration Date: | 08/16/2010 |
| NPI Last Update Date: | 08/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |