Individual
DAVID WADE HARVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 STUMPF BLVD STE 4, TERRYTOWN, LA 70056-3950
(504) 367-4234
Mailing address
1799 STUMPF BLVD STE 4, TERRYTOWN, LA 70056-3950
(504) 367-4234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6712
LA
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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