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Individual

PATRICK GLADNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASTER

Contact information

Practice address
220 W LOUISIANA AVE, VIVIAN, LA 71082-2820
(318) 375-2780
(318) 375-2781
Mailing address
220 W LOUISIANA AVE, VIVIAN, LA 71082-2820
(318) 375-2780
(318) 375-2781

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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