Individual
JOHANNA BALL FRUGE LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1011 HARDING ST, LAFAYETTE, LA 70503-2411
(337) 224-3494
Mailing address
3223 E LA HWY 338, ABBEVILLE, LA 70510-2463
(337) 224-3494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6344
LA
Other
Enumeration date
11/28/2016
Last updated
08/09/2019
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