Organization
LIFE RESTORE COUNSELING & TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GREGORY GINGLES LPC (LICENSED PROFESSIONAL COUNSELOR)
(318) 573-2133
Entity
Organization
Contact information
Practice address
2223 OLD MINDEN RD STE C3, BOSSIER CITY, LA 71112-2303
(318) 573-2133
Mailing address
2223 OLD MINDEN RD STE C3, BOSSIER CITY, LA 71112-2303
(318) 573-2133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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