Individual
MS. CONSUELA MARIE COLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2009 GRIFFIN ST, LAKE CHARLES, LA 70601-1411
(337) 377-8008
(337) 326-4443
Mailing address
2009 GRIFFIN ST, LAKE CHARLES, LA 70601-1411
(337) 377-8008
(337) 326-4443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5646
LA
1041C0700X
Clinical Social Worker
Primary
5646
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
5646
LA
Other
Enumeration date
08/02/2011
Last updated
08/06/2024
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