Michael Blanchard, LADC-II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Brewster, MA
NPI 1104178219 · NPPES record last updated Oct 12, 2012
Key facts
- NPI
- 1104178219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 2277 (MA)
- Practice address
- 745 Harwich Rd
Brewster, MA 02631-2536 - Phone
- (774) 994-0412
- NPI assigned
- Oct 12, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2277 | MA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2277 | MA | Yes |
Addresses
Primary practice location
745 Harwich Rd
Brewster, MA 02631-2536
Mailing address
PO Box 852
Brewster, MA 02631-0852
Other providers in Brewster, MA
- Stephen J. Bellorini
- Dana S Bennett
- Abigail Usen Berner
- Beverly Ann Biondi
- Maryalice Oshana Biondi
- Mary Kate Bloomer
- Jessica Bois
- Amy Beth Boyle
- Barbara Braun-McDonald
- Breakwater Dental, PC
All providers in Brewster, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.