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Individual

KIM MARSOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
600 MARINERS PLAZA DR, SUITE 603, MANDEVILLE, LA 70448-6822
(985) 465-4250
(866) 497-7848
Mailing address
600 MARINERS PLAZA DR, SUITE 603, MANDEVILLE, LA 70448-6822
(985) 465-4250
(866) 497-7848

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6215
LA
101YP2500X
Professional Counselor
6215
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600723292
LA
Enumeration date
10/13/2015
Last updated
02/09/2023
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