Individual
GWENDOLYN BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2101 TOWER DR, MONROE, LA 71201-5045
(318) 884-3905
Mailing address
1162 OLIVER RD STE 4, MONROE, LA 71201-5757
(318) 340-1535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9103
LA
101Y00000X
Counselor
PLC9103
LA
101YP2500X
Professional Counselor
Primary
9103
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306217062
MENTAL HEALTH
LA
Enumeration date
12/05/2016
Last updated
10/30/2024
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