Individual
INGRID D CANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
2406 EVERGREEN LN, PINEVILLE, LA 71360-4314
(318) 792-3331
(318) 487-5184
Mailing address
2406 EVERGREEN LN, PINEVILLE, LA 71360-4314
(318) 792-3331
(318) 484-6844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
695
LA
101YP2500X
Professional Counselor
Primary
1808
LA
Other
Enumeration date
12/18/2006
Last updated
02/10/2020
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