Individual
LORI LANDRY REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 TASVO TRL, LAFAYETTE, LA 70508-8171
(858) 229-1629
Mailing address
104 TASVO TRL, LAFAYETTE, LA 70508-8171
(858) 229-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8588
LA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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