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NPI Code Detail

MEDICARE: MR. BILLY NORTH M.ED.

MEDICARE:  MR. BILLY  NORTH  M.ED.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1952848459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BILLY NORTH M.ED.
Provider Business Mailing Address
First Line : 2400 VETERANS MEMORIAL BLVD
Second Line : SUITE 215
City : KENNER
State : LA
Zip : 70062-4715
Country : US
Telephone Number : 504-405-5280
Fax Number :
Provider Business Practice Location Address
First Line : 2400 VETERANS MEMORIAL BLVD
Second Line : SUITE 215
City : KENNER
State : LA
Zip : 70062-4715
Country : US
Telephone Number : 504-405-5280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2017
Last Update Date : 01/23/2017

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Directions to “ MR. BILLY NORTH M.ED.” Practice Location

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