Individual
KASSIDY DELAINE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS STUDENT
Contact information
Practice address
114 STATE ST, LAKE CHARLES, LA 70605-5718
(337) 426-1144
Mailing address
1225 COUNTRY CLUB RD UNIT 7201, LAKE CHARLES, LA 70605-6167
(337) 529-0337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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