MR. PETER RUSSELL BLACKMAN
Mental Health at Shirley Rd, Whitehall, LA

License number
Louisiana 1544761
Category
Social Work
Type
Counselor
License number
Louisiana 1544761
Category
Mental Health
Type
Mental Health
Address
Address 2
1140 Shirley Rd, Whitehall, LA 71322
PO Box 205, Mansura, LA 71350
Phone
(318) 346-8001
(318) 346-8005 (Fax)
National Provider ID: 1609233907
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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