Individual
MS. LISA LONGENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T
Contact information
Practice address
1103 HUDSON LN, SUITE 1, MONROE, LA 71201-6035
(318) 323-1505
(318) 323-1361
Mailing address
1103 HUDSON LN, SUITE 1, MONROE, LA 71201-6035
(318) 323-1505
(318) 323-1361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
590
LA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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