Individual
STACEY P NEVILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 DIESI ST, OPELOUSAS, LA 70570-7823
(337) 418-7319
Mailing address
PO BOX 374, OPELOUSAS, LA 70571-0374
(337) 418-7319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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