JOSE BLANCO-CREDES

LAFAYETTE, LA
NPI1366999492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-07
Last Update Date2016-09-07
Business Address
-- JOSE BLANCO-CREDES
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
Mailing Address
-- JOSE BLANCO-CREDES
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number:
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