Individual
MR. COREY LONDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19331 N 12TH ST, COVINGTON, LA 70433-5228
(985) 400-5901
(985) 400-5164
Mailing address
19331 N 12TH ST, COVINGTON, LA 70433-5228
(985) 400-5901
(985) 400-5164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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