Individual
STACEY MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 JEFFREY LN, DEVILLE, LA 71328-9386
(318) 449-4474
Mailing address
520 JEFFREY LN, DEVILLE, LA 71328-9386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SMCPHERSON15
—
LA
Enumeration date
10/09/2015
Last updated
10/09/2015
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