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1306393376
KENTRELL BLATCHER
BATON ROUGE, LA
NPI
1306393376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5099)
Enumeration Date
2016-09-07
Last Update Date
2022-05-25
Business Address
KENTRELL BLATCHER LAC
3084 WESTFORK DR STE B
BATON ROUGE, LA 70816-2254
Phone number: 504-430-8685
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Mailing Address
KENTRELL BLATCHER LAC
7726 N JEFFERSON PLACE CIR APT I
BATON ROUGE, LA 70809-8622
Phone number: 504-430-8685
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