Organization
PARISH OF ASCENSION
Active
Other names
Ascension Counseling and Substance Abuse Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C. MITTENDORF PH.D, LCSW (DIRECTOR)
(225) 621-5775
Entity
Organization
Contact information
Practice address
1112 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-5775
(225) 644-2846
Mailing address
1112 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-5775
(225) 644-2846
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
FS 3361
LA
Other
Enumeration date
08/29/2006
Last updated
07/18/2007
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