Individual
INGRID DANDREA LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1700 LAKE ROAD, LAKE PROVIDENCE, LA 71254
(318) 559-0551
(318) 559-0538
Mailing address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0551
(318) 559-0538
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10230
LA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/12/2016
Last updated
06/20/2024
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