Individual
MRS. KRISTEN MELANCON DEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Mailing address
54 GUNTER RD, PINEVILLE, LA 71360-9193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLPC6492
LA
101YP2500X
Professional Counselor
Primary
6492
LA
101YP2500X
Professional Counselor
PLPC6492
LA
Other
Enumeration date
06/28/2016
Last updated
03/17/2018
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