GWENDOLYNN MINVIELLE

RAYVILLE, LA
NPI1902613011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-12-12
Last Update Date2024-12-12
Business Address
GWENDOLYNN MINVIELLE
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 317-303-5500
Mailing Address
GWENDOLYNN MINVIELLE
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 317-303-5500