Individual
MICHAEL DISALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
142 RUE MARGUERITE APT A, THIBODAUX, LA 70301-6746
(985) 625-0023
Mailing address
5342 W MAIN ST, HOUMA, LA 70360-1254
(985) 804-1107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5865
LA
Other
Enumeration date
04/11/2017
Last updated
04/03/2025
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