Individual
KELCIE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 RIDGEWAY DR STE B, LAFAYETTE, LA 70503-3441
(337) 704-7309
Mailing address
123 RIDGEWAY DR STE B, LAFAYETTE, LA 70503-3441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7854
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/18/2016
Last updated
10/28/2023
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