Individual
MARY ELLEN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
165 SONNY LN, JENA, LA 71342-5915
(318) 992-5677
(318) 992-5677
Mailing address
165 SONNY LN, JENA, LA 71342-5915
(318) 992-5677
(318) 992-5677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2040
LA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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