Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 3034 | LA |
NPI | 1003097056 |
---|---|
Provider Name | Dr. Vera Billy |
First Address | New Orleans, LA 70119-5207 |
Second Address | New Orleans, LA 70119-5207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2007 |
Last Update Date | 19/11/2007 |