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Individual

GERALD M RICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD,LMFT,LPC,MAC

Contact information

Practice address
610 LOTUS DR N, SUITE B, MANDEVILLE, LA 70471-2985
(985) 626-7499
(985) 626-7409
Mailing address
610 LOTUS DR N, SUITE B, MANDEVILLE, LA 70471-2985
(985) 626-7499
(985) 626-7409

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
501877
LA
101YM0800X
Mental Health Counselor
211
LA
101YP2500X
Professional Counselor
Primary
2971
LA

Other

Enumeration date
12/08/2006
Last updated
10/28/2010
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