Individual
EMMA MARTIN CARLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPC-S
Contact information
Practice address
204 SANDY BROOK LN, LAFAYETTE, LA 70508-5351
(337) 257-4714
Mailing address
204 SANDY BROOK LN, LAFAYETTE, LA 70508-5351
(337) 257-4714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6125
LA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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