Individual
BONNIE ANDERSON SUCKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 RUE JUNEAU, SLIDELL, LA 70461-5443
(504) 259-5883
Mailing address
121 RUE JUNEAU, SLIDELL, LA 70461-5443
(504) 259-5883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7118
LA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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