Individual
ITALIA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 ENTERPRISE DR STE D, HOUMA, LA 70360-2535
(985) 303-0182
Mailing address
205 ENTERPRISE DR STE D, HOUMA, LA 70360-2535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629460456
—
LA
Enumeration date
02/13/2019
Last updated
02/13/2019
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