Individual
ALYSSA JADE CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23861 S ROBIN RD, MANDEVILLE, LA 70448-7395
(985) 624-4100
Mailing address
23861 S ROBIN RD, MANDEVILLE, LA 70448-7395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9014
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/01/2018
Last updated
12/06/2022
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