Organization
PAULS INTERVENTION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY D PAUL LPC (GENERAL OWNER)
(318) 992-5677
Entity
Organization
Contact information
Practice address
165 SONNY LN, JENA, LA 71342-5915
(318) 992-5677
(318) 992-5677
Mailing address
165 SONNY LN, JENA, LA 71342-5915
(318) 992-5677
(318) 992-5677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2040
LA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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