Evan Thomas Groomer
Counselor, Professional in New Orleans, LA. Individual provider (NPI-1).
NPI number1336770734
StatusActive
Last updated in NPPESDec 26, 2022
Details
- NPI
- 1336770734
- Entity type
- Individual (NPI-1)
- Name
- Evan Thomas Groomer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Dec 26, 2022
- Last updated
- Dec 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7925 | LA | Yes |
Practice location
4150 Earhart BlvdNew Orleans, LA 70125-1955
Phone 504-522-4475
Mailing address
4150 Earhart BlvdNew Orleans, LA 70125-1955
Phone 504-522-4475
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