Individual
MISTY VIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 CANAL ST, SUITE 201, NEW ORLEANS, LA 70119-6400
(504) 525-2366
Mailing address
2626 CANAL ST, SUITE 201, NEW ORLEANS, LA 70119-6400
(504) 525-2366
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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