Individual
MS. CAROLYN A HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NONE LICENSE
Contact information
Practice address
343 N WASHINGTON ST, BASTROP, LA 71220-3849
(318) 974-5075
(318) 974-5079
Mailing address
343 N WASHINGTON ST, BASTROP, LA 71220-3849
(318) 512-7646
(318) 974-5079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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