Organization
COGNITIVE DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN FISHER (DIRECTOR)
(318) 614-7644
Entity
Organization
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
(318) 574-8646
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
(318) 574-8646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2930
LA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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