Individual
MRS. LAURIE O ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
450 N CAUSEWAY BLVD, SUITE B, MANDEVILLE, LA 70448-4699
(504) 491-3402
(985) 674-3406
Mailing address
417 BILL DRIVE, MANDEVILLE, LA 70448
(504) 491-3402
(985) 674-3406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2714
LA
101YM0800X
Mental Health Counselor
2714
LA
101YP2500X
Professional Counselor
2714
LA
Other
Enumeration date
09/13/2007
Last updated
11/28/2007
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