Organization
RENFRO & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL L RENFRO M.ED, LPC (OWNER/OPERATOR)
(504) 339-4801
Entity
Organization
Contact information
Practice address
3715 WILLIAMS BLVD STE 105, KENNER, LA 70065-3066
(504) 201-2543
Mailing address
4132 GEORGIA AVE APT A, KENNER, LA 70065-2283
(504) 339-4801
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3439
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
LA
Enumeration date
05/24/2010
Last updated
05/24/2010
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