Organization
CENLA PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA G. COLE MSW LICENSED TITLE L (MANAGER/PARTNER)
(318) 787-6805
Entity
Organization
Contact information
Practice address
1412 PETERMAN DRIVE, SUITE, ALEXANDRIA, LA 71301
(318) 787-6805
(318) 787-6818
Mailing address
1412 PETERMAN DRIVE, SUITE A, ALEXANDRIA, LA 71301
(318) 787-6805
(318) 787-6818
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4257
LA
101YP2500X
Professional Counselor
—
LA
1041C0700X
Clinical Social Worker
Primary
937
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235925
CAQH
—
Enumeration date
04/19/2012
Last updated
05/18/2012
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