Individual
STEVEN JOSEPH MAYBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, NCC
Contact information
Practice address
1609 LOUISA ST, RAYVILLE, LA 71269-3244
(318) 791-7013
Mailing address
1609 LOUISA ST, RAYVILLE, LA 71269-3244
(318) 791-7013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1392
LA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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