Individual
BONNIE DESALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-4245
(504) 342-7332
Mailing address
6305 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-4245
(504) 342-7332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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