Jenna Mae Blanchard, LADC

NPI #1669245650 in Fairmont, Minnesota

Provider Information

NPI Number: 1669245650
Entity Type: Individual
Name: Jenna Mae Blanchard, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Nov 1, 2023
Last Updated: Sep 30, 2024

Practice Location

Address: 1100 INDUS ST
City: Fairmont
State: Minnesota
ZIP Code: 56031-9548
Phone: (701) 899-2803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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