Individual
STEPHANIE LYNN VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
152 W MAIN ST, NEW IBERIA, LA 70560-3871
(337) 380-6803
(337) 340-9252
Mailing address
152 W MAIN ST, NEW IBERIA, LA 70560-3871
(337) 380-6803
(337) 340-9252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2390
LA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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