Organization
KINDRED COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENISE GRAVES (OWNER)
(985) 516-3656
Entity
Organization
Contact information
Practice address
1420 AVENUE I, BOGALUSA, LA 70427-4955
(985) 516-3656
Mailing address
1420 AVENUE I, BOGALUSA, LA 70427-4955
(985) 516-3656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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