Individual
DONISHA FEDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3819 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-5735
(504) 503-0730
Mailing address
142 DANNY DR, NEW ORLEANS, LA 70131-1904
(214) 901-0431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
010996410
LA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/07/2016
Last updated
02/07/2024
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