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Individual

MS. LISA RENEE BRAZZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
106 MORNING MEADOW CIR, WEST MONROE, LA 71292-6138
(318) 557-5612
Mailing address
106 MORNING MEADOW CIR, WEST MONROE, LA 71292-6138
(318) 557-5612

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2535
LA
106H00000X
Marriage & Family Therapist
585
LA

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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