Doctor Name: | JAMES BLANCHARD |
NPI Number: | 1033585211 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | P-1315 |
Business Practice Address: | 1123 N 9th St Beatrice, NE - 683102041 |
Business Phone Number: | 4022283386 |
Business Fax Number: | |
Mailing Address: | 1123 N 9th St, BEATRICE |
State: | NE |
Postal Code: | 683102041 |
Phone Number: | 4022283386 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | P-1315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |