Individual
STEPHONY MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ROBINHOOD DRIVE, HAMMOND, LA 70403
(504) 374-1626
Mailing address
PO BOX 1056, HAMMOND, LA 70404-1056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
7957
LA
Other
Enumeration date
08/29/2019
Last updated
07/16/2024
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