Individual
CHRISTY PENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
5220 RUE VERDUN STE A, ALEXANDRIA, LA 71303-2578
(318) 266-7021
Mailing address
3312 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7449
(337) 237-0788
(337) 237-0785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5216
LA
101YP2500X
Professional Counselor
5216
LA
Other
Enumeration date
08/13/2015
Last updated
09/16/2019
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