Individual
MS. MARIA KOURTNEY KENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 N NEW HAMPSHIRE ST, COVINGTON, LA 70433-3249
(985) 400-1460
(985) 892-2807
Mailing address
115 W 10TH AVE, COVINGTON, LA 70433-3655
(985) 400-1460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6064
LA
Other
Enumeration date
01/07/2009
Last updated
11/13/2012
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