Individual
MS. ANN FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(986) 327-5427
Mailing address
511 CEDARWOOD DRIVE, MANDEVILLE, LA 70471
(302) 345-0393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/21/2015
Last updated
03/01/2019
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