Individual
DENISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4075 HWY 1, RACELAND, LA 70394
(985) 438-4073
Mailing address
214 FAIRFIELD DR, THIBODAUX, LA 70301-3720
(985) 438-4073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4882
LA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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