Individual
CAROL LEATHERMAN BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
580 MAIN ST, MANY, LA 71449-3005
(318) 256-6242
(318) 256-2064
Mailing address
1219 BERMUDA ROAD, NATCHEZ, LA 71456
(318) 787-8463
(318) 449-4749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1712
LA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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