Organization
INTERACTIONAL PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L GOVENER M.DIV.,PH.D. (PRESIDENT)
(318) 388-8805
Entity
Organization
Contact information
Practice address
300 WASHINGTON ST, SUITE 209, MONROE, LA 71201-6714
(318) 388-8805
(318) 388-8813
Mailing address
300 WASHINGTON ST, SUITE 209, MONROE, LA 71201-6714
(318) 388-8805
(318) 388-8813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1558
LA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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