Roots Counseling Llc | |
1510 Hodges St Lake Charles LA 70601-6013 | |
(337) 502-9497 | |
(337) 340-9305 |
Full Name | Roots Counseling Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1510 Hodges St, Lake Charles, Louisiana |
Authorized Official Name and Position | Paul Gonsoulin (OWNER) |
Authorized Official Contact | 3375029497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roots Counseling Llc 1510 Hodges St Lake Charles LA 70601-6013 Ph: (337) 502-9497 | Roots Counseling Llc 1510 Hodges St Lake Charles LA 70601-6013 Ph: (337) 502-9497 |
NPI Number | 1821758749 |
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Provider Enumeration Date | 12/20/2021 |
Last Update Date | 12/20/2021 |
Certification Date | 12/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821758749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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