Individual
MATTHEW C, MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1201 RYAN ST, LAKE CHARLES, LA 70601-5222
(337) 310-2822
(337) 310-2820
Mailing address
1201 RYAN ST, LAKE CHARLES, LA 70601-5222
(337) 310-2822
(337) 310-2820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3921
LA
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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