NPI | 1508302886 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID C MCMILLIAN Owner/Therapist 318-227-9002 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA LPC1744) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA MFT534) |
101Y00000X Counselor (Licence: TX MFT3919) | |
Enumeration Date | 2017-01-11 |
Last Update Date | 2017-01-11 |