Individual
LAKETHA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 KEENE ST, LAKE PROVIDENCE, LA 71254-5662
(318) 282-0614
Mailing address
331 KEENE ST, LAKE PROVIDENCE, LA 71254-5662
(318) 282-0614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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