Individual
KASONYA MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 DRUSILLA LN, SUITE E, BATON ROUGE, LA 70809-1495
(225) 930-4530
Mailing address
6119 HIGHWAY 405, DONALDSONVILLE, LA 70346-7900
(225) 316-8733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1439
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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