| NPI | 1518574375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDRICKA RUSSELL Licensed Professional Counselor 225-333-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-01-12 |