Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 101YP2500X | Professional Counselor | LPC2775 | LA |
NPI | 1215956362 |
---|---|
Provider Name | Dr. David Lloyd Govener |
First Address | Monroe, LA 71203-6602 |
Second Address | Monroe, LA 71203-3828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |