Individual
MRS. DEANDERIA D GREMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
230 ROBERTS DR STE H, NEW ROADS, LA 70760-2661
(225) 618-5959
(225) 238-8330
Mailing address
5519 BOULEVARD D ISLE, JARREAU, LA 70749-3121
(225) 939-4787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7735
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16138376
—
LA
Enumeration date
10/02/2015
Last updated
04/18/2024
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