Individual
SELLE GRACE EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 327-5427
Mailing address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 327-5427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10684
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/08/2025
Last updated
06/04/2025
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