Individual
CHARLES EKENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 WHITNEY AVE, SUITE 320, GRETNA, LA 70056-2558
(504) 263-1403
(504) 263-1423
Mailing address
401 WHITNEY AVE, SUITE 320, GRETNA, LA 70056-2558
(504) 263-1403
(504) 263-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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