Provider Demographics
NPI:1346863339
Name:COUNCE, JOHN HOLLAND (PLPC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HOLLAND
Last Name:COUNCE
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 ANTONINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2508
Mailing Address - Country:US
Mailing Address - Phone:504-615-4483
Mailing Address - Fax:
Practice Address - Street 1:701 METAIRIE RD STE 2A301
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4045
Practice Address - Country:US
Practice Address - Phone:504-635-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-25
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8097101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional