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Individual

LA'FONDA NICOLE HEARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
9151 INTERLINE AVE STE 9A, BATON ROUGE, LA 70809-1970
(225) 907-1698
(225) 416-6164
Mailing address
9151 INTERLINE AVE STE 9A, BATON ROUGE, LA 70809-1970
(225) 907-1698
(225) 416-6164

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary
LH322367
LA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LH322367
LICENSED PROFESSIONAL CHRISTIAN THERAPIST
LA
Enumeration date
03/29/2019
Last updated
06/21/2021
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