Individual
GRACISHONE LARRIAN FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2742 AUGUSTA ST, KENNER, LA 70062-5118
(504) 333-9635
Mailing address
2742 AUGUSTA ST, KENNER, LA 70062-5118
(504) 333-9635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
9316
LA
Other
Enumeration date
06/26/2020
Last updated
02/28/2025
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