NPI | 1518057892 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN MICHELE MACAULAY Counselor 318-393-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3290) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1043) |
Enumeration Date | 2006-10-15 |
Last Update Date | 2020-08-22 |