Organization
NORTHSIDE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DALE LOTT LPC (LICENSED PROFESSIONAL COUNSELOR)
(985) 516-3298
Entity
Organization
Contact information
Practice address
1413 MILITARY RD, BOGALUSA, LA 70427-2935
(985) 516-3298
Mailing address
1413 MILITARY RD, BOGALUSA, LA 70427-2935
(985) 516-3298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4039
LA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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