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Mr. Gregory H Gentry, LAC
Addiction (Substance Use Disorder) Counselor in Shreveport, Louisiana
NPI 1174047856

Gregory H Gentry is an Addiction (Substance Use Disorder) Counselor based in Shreveport, LA and is specialized in Addiction (Substance Use Disorder). Gregory H Gentry practices in Shreveport, LA and has the professional credentials of LAC. The NPI Number for Gregory H Gentry is 1174047856 and holds a License No. 116 (Louisiana).

The current practice location address for Gregory H Gentry is 2000 Fairfiled Avenue, Shreveport, LA and can be reached out via phone at 318-222-8511.

Location: 2000 Fairfiled Avenue, Shreveport, LA, 71105-3245
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Provider Profile Details
NPI Number
1174047856
Provider Name
Gregory H Gentry
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2000 Fairfiled Avenue, Shreveport, LA, 71105-3245
Phone Number
318-222-8511
Fax Number
Provider Enumeration Date
08/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116 01 LA ADDICTIVE DISORDER REGULATORY AUTHORITY
institution
Provider Business Practice Location Address Details
Address
2000 Fairfiled Avenue
City
State
Zip
71104-2002
Phone Number
318-222-8511
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Fairfiled Avenue
City
State
Zip
71104-2002
Phone Number
318-222-8511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
116 (Louisiana)
Definition
Definition to come...
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