Melda-claude Professional Counseling Center, Inc. | |
425 W Airline Hwy Ste D Upper La Place LA 70068-3825 | |
(985) 652-2052 | |
(225) 869-8049 |
Full Name | Melda-claude Professional Counseling Center, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 425 W Airline Hwy Ste D Upper, La Place, Louisiana |
Authorized Official Name and Position | Judy Ann Petit (CLINICAL COUNSELOR) |
Authorized Official Contact | 9856522052 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Melda-claude Professional Counseling Center, Inc. 425 W Airline Hwy Ste D Upper La Place LA 70068-3825 Ph: (985) 652-2052 | Melda-claude Professional Counseling Center, Inc. 425 W Airline Hwy Ste D Upper La Place LA 70068-3825 Ph: (985) 652-2052 |
NPI Number | 1619004397 |
---|---|
Provider Enumeration Date | 02/28/2007 |
Last Update Date | 09/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619004397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC 1963 (Louisiana) | Primary |
106H00000X | Marriage & Family Therapist | LMFT 247 (Louisiana) | Secondary |
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