GREGORY H GENTRY

SHREVEPORT, LA
NPI1174047856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  116)
Enumeration Date2017-08-03
Last Update Date2023-01-05
Business Address
Mr. GREGORY H GENTRY LAC
2000 FAIRFILED AVENUE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
Mailing Address
Mr. GREGORY H GENTRY LAC
363 SANDEFUR DR
SHREVEPORT, LA 71105-3245
Phone number: 318-752-4454
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