| John Lovern, Lcsw, Llc | |
|
1186 Fremaux Ave Slidell LA 70458-3538 | |
| (985) 643-5145 | |
| Not Available |
| Full Name | John Lovern, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1186 Fremaux Ave, Slidell, Louisiana |
| Authorized Official Name and Position | John Aaron Lovern (OWNER) |
| Authorized Official Contact | 5046164064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Lovern, Lcsw, Llc 68164 Marion St Mandeville LA 70471-7822 Ph: (504) 616-4064 | John Lovern, Lcsw, Llc 1186 Fremaux Ave Slidell LA 70458-3538 Ph: (985) 643-5145 |
| NPI Number | 1306029392 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306029392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3267 (Louisiana) | Primary |
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