Individual
PRANATHI MARAMRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E MISSISSIPPI AVE, RUSTON, LA 71270-3905
(318) 548-7750
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 548-7750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9628
LA
101YM0800X
Mental Health Counselor
Primary
PLC9628
LA
Other
Enumeration date
10/25/2016
Last updated
05/01/2026
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