Individual provider · Type 1 NPI

Donovan Thierry

Mental Health Counselor · Gonzales, LA

NPI number 1265930465 Active

Practice location

1724 N Burnside Ave Ste 7
Gonzales, LA 70737-2157

Call (225) 644-8565 Map

Fax (225) 644-6261

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265930465

Donovan Thierry's National Provider Identifier is 1265930465, issued on Jan 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gonzales, LA. The record was last updated on Jan 23, 2018.