| NPI | 1053977348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREGORY GINGLES Licensed Professional Counselor 318-573-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |