Provider Demographics
NPI:1598835381
Name:HOWARD, BLANCHE (BA, CCH)
Entity Type:Individual
Prefix:
First Name:BLANCHE
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:BA, CCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 88 BOX 424
Mailing Address - Street 2:
Mailing Address - City:POCONO LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18347-9612
Mailing Address - Country:US
Mailing Address - Phone:570-646-0335
Mailing Address - Fax:570-646-7418
Practice Address - Street 1:HC 88 BOX 424
Practice Address - Street 2:
Practice Address - City:POCONO LAKE
Practice Address - State:PA
Practice Address - Zip Code:18347-9612
Practice Address - Country:US
Practice Address - Phone:570-646-0335
Practice Address - Fax:570-646-7418
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor