Individual
BIANCA SEYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BELLE CHASSE HIGHWAY, GRETNA, LA 70053
(504) 367-6630
Mailing address
2100 BELLE CHASSE HIGHWAY, GRETNA, LA 70053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/23/2020
Last updated
04/10/2020
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