| NPI | 1659906014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L REED Licensed Professional Counselor 985-413-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |