Individual provider · Type 1 NPI

Mary Gully

Counselor · Shreveport, LA

NPI number 1952852170 Active

Practice location

3201 Knight St, Apt. 207
Shreveport, LA 71105-2706

Call (318) 415-9012 Map

Mailing address

3201 Knight St., Apt. 207
Shreveport, LA 71105

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1952852170

Mary Gully's National Provider Identifier is 1952852170, issued on Oct 24, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shreveport, LA. The record was last updated on Oct 24, 2016.