Individual
MR. ALEX PROMISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 LEGACY DR, RAYVILLE, LA 71269-3301
(318) 538-8345
Mailing address
124 LEGACY DR, RAYVILLE, LA 71269-3301
(318) 538-8345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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