| NPI | 1093579328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE SHORT Licensed Professional Counselor 318-690-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |