Individual
MS. MYRA KAY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 MANHATTAN BLVD STE 207, HARVEY, LA 70058-5361
(504) 364-8949
(504) 364-8968
Mailing address
2439 MANHATTAN BLVD STE 207, HARVEY, LA 70058-5361
(504) 364-8949
(504) 364-8968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8784
LA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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