Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP1600X | Pastoral Counselor | ||
N | 101YS0200X | School Counselor |
NPI | 1245689629 |
---|---|
Provider Name | Barbara Terrell |
First Address | Alexandria, LA 71301-2655 |
Second Address | Alexandria, LA 71301-2655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 07/06/2016 |