Individual
BRIRON SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Mailing address
3330 MASONIC DR STE D, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
217715
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/23/2016
Last updated
07/12/2021
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