Individual
FAITH STAR MANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 PRIDE DR, HAMMOND, LA 70401-9523
(985) 215-8978
Mailing address
42142 N HOOVER RD TRLR 7, PONCHATOULA, LA 70454-4475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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