Organization
VERNON COMMUNITY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LOUISE HOLLER PH.D. (CEO)
(337) 213-2393
Entity
Organization
Contact information
Practice address
282 ALEXANDRIA HWY, LEESVILLE, LA 71446-2146
(337) 213-2393
Mailing address
PO BOX 1726, LEESVILLE, LA 71496-1726
(337) 213-2393
(337) 404-3976
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT368
LA
251S00000X
Community/Behavioral Health Agency
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Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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