MEDICARE: DR. JOHN C GARRETT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	17902	TX
2	101YP2500X	Professional Counselor	3774	LA

General Provider Information

NPI Number	:	1760981286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN C GARRETT LPC

Provider Business Mailing Address
First Line	:	3939 GENTILLY BLVD # 166
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-4858
Country	:	US
Telephone Number	:	504-556-2101
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 GENTILLY BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-4858
Country	:	US
Telephone Number	:	504-556-2101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2018
Last Update Date	:	02/10/2018

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Directions to “ DR. JOHN C GARRETT LPC” Practice Location

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