Louis Jason Bonfanti, LCSW Valid NPI
Individual provider · Clinical Social Worker · Alexandria, LA
- NPI
- 1871531582
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 1820 (LA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-06-03
- Last updated
- 2008-06-27
Practice location
109 Yorktown Dr, Suite B
Alexandria, LA 71303-3621
(318) 487-9895