Individual
JAVARIOUS TALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 STUBBS AVE, MONROE, LA 71201-5585
(318) 512-4997
Mailing address
1709 OAKLAWN DR, MONROE, LA 71202-3041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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