Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 6029 | LA |
NPI | 1003033523 |
---|---|
Provider Name | Mrs. Heather Joane Oates |
First Address | Pineville, LA 71360-7903 |
Second Address | Alexandria, LA 71302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |