Individual
MS. LANORE SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. LPC
Contact information
Practice address
1615 JOHNSON ST STE C, JENNINGS, LA 70546-3650
(337) 616-0225
Mailing address
2529 19TH ST STE A, LAKE CHARLES, LA 70601-8143
(337) 707-7701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6855
LA
Other
Enumeration date
10/26/2016
Last updated
01/29/2021
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