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Gregory Bonvillian
NPI 1174037832 · on the registry since 2017
Practice
- Address
- 350 Main St
Baker, LA 70714 - Phone
- (225) 778-6783
- Fax
- (225) 612-6602
- Organisation at this address
- Inspirational Community Outreach Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana