Individual
MRS. DANA LETARD VICELLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LPC,
Contact information
Practice address
7600 PRIDE PORT HUDSON RD, ZACHARY, LA 70791-7462
(225) 324-8934
Mailing address
7600 PRIDE PORT HUDSON RD, ZACHARY, LA 70791-7462
(225) 324-8934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9917
LA
Other
Enumeration date
01/12/2013
Last updated
02/22/2024
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