NORTHLAKE MEDICAL PSYCHOLOGY AND COUNSELING

MANDEVILLE, LA
NPI1043692437
Entity TypeOrganization
Authorized ContactJOHN A TEAL
Medical Psychologist
601-946-1844
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: LA  MP.000036)
Additional Taxonomies261QM0801X 
(Licence: LA  LPC #3492)
261QM0801X 
(Licence: LA  MP.0020)
Enumeration Date2015-06-23
Last Update Date2015-07-29
Business Address
NORTHLAKE MEDICAL PSYCHOLOGY AND COUNSELING
215 SAINT ANN DR STE 2
MANDEVILLE, LA 70471-3394
Phone number: 601-946-1844
Mailing Address
NORTHLAKE MEDICAL PSYCHOLOGY AND COUNSELING
215 SAINT ANN DR STE 2
MANDEVILLE, LA 70471-3394
Phone number: 601-946-1844
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