Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 4084 | LA |
N | 101YM0800X | Mental Health Counselor | 4084 | LA |
N | 101YP1600X | Pastoral Counselor | 4084 | LA |
Y | 101YP2500X | Professional Counselor | 4084 | LA |
NPI | 1184865461 |
---|---|
Provider Name | Elizabeth Patricia Brangan |
First Address | Alexandria, LA 71301-9971 |
Second Address | Alexandria, LA 71301-9971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2009 |
Last Update Date | 04/10/2010 |