| NPI | 1699826537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. GOVENER Exectutive Director 318-343-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2775) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 492) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |