Organization
SLIDELL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MARCUS GORDON LCSW (OWNER)
(504) 319-8247
Entity
Organization
Contact information
Practice address
2800 GAUSE BLVD E, SUITE B, SLIDELL, LA 70461-4247
(985) 649-0455
(985) 649-0455
Mailing address
113 HERRING DR, SLIDELL, LA 70461-1113
(504) 319-8247
(985) 649-0455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4592
LA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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