| NPI | 1750134441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN MARSHALL Credentialing Agent 504-327-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-17 |