Most Relevant Information
Provider Data
| NPI Number: | 1003690595 |
| Provider Name: | GERAL THOMAS BLANCHARD LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 494 |
Most Important Dates
| Enumeration Date: | 08/24/2023 |
| Last Updated: | 08/24/2023 |
Provider Practice Location
17 SW 42ND ST
DES MOINES
IA
503123043
Practice Location Phone/Fax
| Phone: | 5152796900 |
| Fax: |
Provider Mailing Location
17 SW 42ND ST
DES MOINES
IA
503123043
Provider Mailing Phone/Fax
| Phone: | 5152796900 |
| Fax: |