Individual provider · Type 1 NPI

Detra Gaulden

Mental Health Counselor · Alexandria, LA

NPI number 1679928857 Active

Practice location

3452 Halsey Street
Alexandria, LA 71301

Call (318) 613-1571 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679928857

Detra Gaulden's National Provider Identifier is 1679928857, issued on Apr 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Alexandria, LA. The record was last updated on Apr 26, 2016.