Individual
LANCE JOSEPH MIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12320 HIGHWAY 44 STE 3D, GONZALES, LA 70737-2202
(225) 253-3357
Mailing address
12320 HIGHWAY 44 STE 3D, GONZALES, LA 70737-2202
(225) 253-3357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4343
LA
Other
Enumeration date
07/15/2013
Last updated
09/23/2014
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