Individual
MISTY LYNN HENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1003 HUGH WALLIS RD S BLDG E, LAFAYETTE, LA 70508-2528
(337) 534-8140
(337) 534-8141
Mailing address
1003 HUGH WALLIS RD S BLDG E, LAFAYETTE, LA 70508-2528
(337) 534-8140
(337) 534-8141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4194
LA
Other
Enumeration date
06/29/2012
Last updated
10/04/2023
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