Individual
LAWAN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 VANS LN, DESTREHAN, LA 70047-4112
(504) 205-7836
Mailing address
724 VANS LN, DESTREHAN, LA 70047-4112
(504) 205-7836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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