Gregory Bonvillian
Gregory Bonvillian is a Mental Health Counselor in Baker, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.
- Licensed in
- LA
- In the registry since
- 2017
Practice location Address checks out
350 Main StBaker, LA 70714-3767
Phone: (225) 778-6783
Fax: (225) 612-6602
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (LA) |
|---|
Record details
| NPI number | 1174037832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2017 |
| Last updated in NPPES | June 16, 2018 |
| Mailing address | 11349 Copperwood Dr, Denham Springs, LA 70726-6087 |
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Doris Addison
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-
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350 Main St, Baker, LA 70714-3767 · (225) 778-6783
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