Individual
MRS. ALEXIS KATERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 GATEWAY DR, SLIDELL, LA 70461-5589
(985) 707-1410
Mailing address
350 GATEWAY DR, SLIDELL, LA 70461-5589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC8159
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
07/17/2013
Last updated
01/23/2023
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