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Individual

MS. MONA M. PELLICHINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPC, LMFT

Contact information

Practice address
1216 S MORRISON BLVD, SUITE 9, HAMMOND, LA 70403-5702
(985) 320-2870
(985) 340-5025
Mailing address
17104 E LITTLE ITALY RD, HAMMOND, LA 70403-6306
(985) 542-1011
(985) 542-1011

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2596
LA
101YP2500X
Professional Counselor
Primary
2596
LA
106H00000X
Marriage & Family Therapist
746
LA

Other

Enumeration date
06/30/2011
Last updated
06/30/2011
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