| Doctor Name: | MR. GEORGE REID DOSTER |
| NPI Number: | 1053523787 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LMFT |
| License Number: | LPC 1124 |
| Business Practice Address: | Brookside Llc 406 Pine Street Madisonville, LA - 70447 |
| Business Phone Number: | 9857786049 |
| Business Fax Number: | |
| Mailing Address: | Po Box 640, MADISONVILLE |
| State: | LA |
| Postal Code: | 704470640 |
| Phone Number: | 9857786049 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 1124 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |