Organization
TRAYLOR COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON BRETT TRAYLOR LPC (OWNER)
(870) 310-2343
Entity
Organization
Contact information
Practice address
1004 RECREATION DR, MINDEN, LA 71055-5125
(870) 310-2343
Mailing address
PO BOX 188, MINDEN, LA 71058-0188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4235
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4235
LPC LICENSE
LA
Enumeration date
05/24/2017
Last updated
05/24/2017
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