Individual
LISA SURRENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4465 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4957
(985) 785-2113
Mailing address
1000 HOWARD AVE STE 229, NEW ORLEANS, LA 70113-1903
(504) 310-6933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4818
LA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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