Most Relevant Information
Provider Data
NPI Number: | 1003331091 |
Provider Name: | TAMRA BLANCHARD LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | C5721 |
Most Important Dates
Enumeration Date: | 08/10/2017 |
Last Updated: | 03/27/2024 |
Provider Practice Location
1349 GOLDEN PARK DR APT B
GRANTS PASS
OR
975274879
Practice Location Phone/Fax
Phone: | 5417613989 |
Fax: | 5412262356 |
Provider Mailing Location
1349 GOLDEN PARK DR APT B
GRANTS PASS
OR
975274879
Provider Mailing Phone/Fax
Phone: | 5417613989 |
Fax: | 5412262356 |