| Traylor Counseling Services, Llc | |
|
1004 Recreation Dr Minden LA 71055-5125 | |
| (870) 310-2343 | |
| Not Available |
| Full Name | Traylor Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1004 Recreation Dr, Minden, Louisiana |
| Authorized Official Name and Position | Jonathon Brett Traylor (OWNER) |
| Authorized Official Contact | 8703102343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traylor Counseling Services, Llc Po Box 188 Minden LA 71058-0188 Ph: () - | Traylor Counseling Services, Llc 1004 Recreation Dr Minden LA 71055-5125 Ph: (870) 310-2343 |
| NPI Number | 1124556949 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 05/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124556949 | NPI | - | NPPES |
| 4235 | Other | LA | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4235 (Louisiana) | Primary |
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