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Organization
ST JAMES COMMUNITY FRESH START PROGRAM
Active
Organization
ST JAMES COMMUNITY FRESH START PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHA MAE DAVIS WILLIAMS PHD NBCC (DIRECTOR CEO)
(225) 623-9751
Entity
Organization
Contact information
Practice address
108 N EZIDORE ST, GRAMERCY, LA 70052-0850
(225) 258-4029
(225) 258-4109
Mailing address
PO BOX 850, GRAMERCY, LA 70052-0850
(225) 258-4029
(225) 258-4109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
05/17/2007
Last updated
07/09/2008
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