Organization
CENTER FOR FAMILY & INDIVIDUAL COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL H BRYAN PHD (OWNER)
(318) 443-7711
Entity
Organization
Contact information
Practice address
5615K JACKSON STREET EXT, ALEXANDRIA, LA 71303-2326
(318) 443-7711
(318) 443-9808
Mailing address
5615K JACKSON STREET EXT, ALEXANDRIA, LA 71303-2326
(318) 443-7711
(318) 443-9808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
474
LA
Other
Enumeration date
10/16/2007
Last updated
11/14/2007
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