Doctor Name: | JOHN F STRAIN |
NPI Number: | 1104013051 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 1055 |
Business Practice Address: | 900 Wilkinson St Mandeville, LA - 704483533 |
Business Phone Number: | 9856244450 |
Business Fax Number: | |
Mailing Address: | 216 W 15th Ave, COVINGTON |
State: | LA |
Postal Code: | 704333356 |
Phone Number: | 9858936906 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |