Individual
LAKISIA FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 EE WALLACE BLVD, FERRIDAY, LA 71334
(318) 757-9363
(318) 757-9364
Mailing address
615 EE WALLACE BLVD S, FERRIDAY, LA 71334-3224
(318) 757-9363
(318) 757-9364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9448
LA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/22/2015
Last updated
09/12/2024
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