| Calvary Counseling Center | |
|
105 E Washington Ave Haughton LA 71037-6000 | |
| (318) 423-2392 | |
| Not Available |
| Full Name | Calvary Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 E Washington Ave, Haughton, Louisiana |
| Authorized Official Name and Position | Ronnie J Burns (COUNSELOR) |
| Authorized Official Contact | 3186861954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvary Counseling Center 683 Highway 615 Shongaloo LA 71072-2050 Ph: (318) 423-2392 | Calvary Counseling Center 105 E Washington Ave Haughton LA 71037-6000 Ph: (318) 423-2392 |
| NPI Number | 1083044523 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 03/24/2020 |
| Certification Date | 03/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083044523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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