| Northlake Counseling And Consulting, Llc | |
|
902 C M Fagan Dr Ste B Hammond LA 70403-6043 | |
| (985) 687-5226 | |
| Not Available |
| Full Name | Northlake Counseling And Consulting, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 902 C M Fagan Dr Ste B, Hammond, Louisiana |
| Authorized Official Name and Position | Jessica Gandolfo (OWNER) |
| Authorized Official Contact | 9856875226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlake Counseling And Consulting, Llc 485 S 8th St Ponchatoula LA 70454-3415 Ph: (985) 687-5226 | Northlake Counseling And Consulting, Llc 902 C M Fagan Dr Ste B Hammond LA 70403-6043 Ph: (985) 687-5226 |
| NPI Number | 1275957979 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275957979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2753 (Louisiana) | Primary |
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