BRANDON BLACKSTONE

ALEXANDRIA, LA
NPI1699256974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-08-24
Last Update Date2018-09-12
Business Address
BRANDON BLACKSTONE
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303-2351
Phone number: 318-449-4474
Mailing Address
BRANDON BLACKSTONE
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303-2351
Phone number:
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