Individual
DEMETRIUS JANUARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3921 INDEPENDENCE DR STE 104, ALEXANDRIA, LA 71303-3566
(318) 542-4288
Mailing address
3921 INDEPENDENCE DR STE 104, ALEXANDRIA, LA 71303-3566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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