Individual provider · Type 1 NPI
Brandon Slacks
Mental Health Counselor · Mansfield, LA
NPI number
1972055804
Active
Practice location
117 Carolyn St
Mansfield, LA 71052-2901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 00902654 (LA) |
Mental Health Counselor: Definition to come...
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About NPI 1972055804
Brandon Slacks's National Provider Identifier is 1972055804, issued on Oct 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield, LA. The record was last updated on Oct 26, 2016.