| NPI | 1700384831 |
|---|---|
| Doing Business As | INTEGRATIVE COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | VAN BIVENS CEO/Sole Member 318-459-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |