Individual
BRANDY LION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MARINERS PLAZA DR STE 603, MANDEVILLE, LA 70448-6826
(985) 465-4250
(985) 465-4250
Mailing address
121 MADEWOOD DR, MANDEVILLE, LA 70471-8230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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