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Organization
JOURNEY ON THE BAYOU
Active
Organization
JOURNEY ON THE BAYOU
Active
Other names
JOURNEY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALFREDA M FULTON LAC (OWNER/ADMINISTRATOR/COUNSELOR)
(225) 485-9985
Entity
Organization
Contact information
Practice address
38250 SUSAN CT, GONZALES, LA 70737-6079
(225) 485-9985
Mailing address
38250 SUSAN CT, GONZALES, LA 70737-6079
(225) 485-9985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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