Bienville South

NPI 1780188573 · on the registry since 2018

Practice

Address: 3660 W Slauson Ave
Los Angeles, CA 90043
Phone: (323) 214-9166

Registry record

Primary taxonomy: Social Worker
104100000X
Also registered as: Counselor
Mental Health Counselor
Addiction (Substance Use Disorder) Psychologist
Pastoral Counselor
Behavior Analyst
Family Psychologist
Intellectual & Developmental Disabilities Psychologist
Social Worker
Military Health Care Provider
Case Manager/Care Coordinator
Driver
Lactation Consultant (Non-RN)
Art Therapist
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-19

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 California