Individual
GRANT WILLIAM TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2321 N HULLEN ST, METAIRIE, LA 70001-1982
(504) 941-7580
Mailing address
2321 N HULLEN ST, METAIRIE, LA 70001-1982
(504) 941-7580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8665
LA
171M00000X
Case Manager/Care Coordinator
PLC8665
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PLC8665
PROVISIONAL LICENSED PROFESSIONAL COUNSELOR
LA
Enumeration date
07/14/2021
Last updated
07/16/2021
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