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Cedric Jerome Governor, BSPSYCHOLOGY
Mental Health Counselor in Metairie, Louisiana
NPI 1902303399

Cedric Jerome Governor is a Mental Health Counselor based in Metairie, LA and is specialized in Mental Health. Cedric Jerome Governor practices in Metairie, LA and has the professional credentials of BSPSYCHOLOGY. The NPI Number for Cedric Jerome Governor is 1902303399 and holds a License No. (Louisiana).

The current practice location address for Cedric Jerome Governor is 2540 Severn Ave Ste 100, Metairie, LA and can be reached out via phone at 504-454-3740 and via fax at 504-454-3738.

Location: 2540 Severn Ave Ste 100, Metairie, LA, 70002-5941
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Provider Profile Details
NPI Number
1902303399
Provider Name
Cedric Jerome Governor
Credential
BSPSYCHOLOGY
Provider Entity Type
Individual
Gender
Male
Address
2540 Severn Ave Ste 100, Metairie, LA, 70002-5941
Phone Number
504-454-3740
Fax Number
504-454-3738
Provider Enumeration Date
04/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 05 LA
institution
Provider Business Practice Location Address Details
Address
2540 Severn Ave Ste 100
City
State
Zip
70002-5941
Phone Number
504-454-3740
Fax Number
504-454-3738
person
Provider Business Mailing Address Details
Address
2540 Severn Ave Ste 100
City
State
Zip
70002-5941
Phone Number
504-454-3740
Fax Number
504-454-3738
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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