Individual
MR. GREGORY CHARLES JAMES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203
(318) 343-8744
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972980514
—
LA
Enumeration date
02/15/2018
Last updated
05/30/2018
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