Organization · Type 2 NPI

Active Intervention, Inc.

Professional Counselor · Terrytown, LA

NPI number 1104881564 Active

Practice location

1799 Stumpf Blvd, Bldg. 7 Ste. 10
Terrytown, LA 70056-3950

Call (504) 367-5766 Map

Fax (504) 367-5755

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2002 (LA)

Professional Counselor: Definition to come...

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About NPI 1104881564

Active Intervention, Inc.'s National Provider Identifier is 1104881564, issued on Apr 19, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Terrytown, LA. The record was last updated on Aug 22, 2020.