Individual
MARGARET MASCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, CCGC
Contact information
Practice address
4012 AVENUE H, LAKE CHARLES, LA 70615-5186
(337) 491-2355
(337) 491-2492
Mailing address
601 HOLMES ST, LAKE CHARLES, LA 70615-3717
(337) 436-3508
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
156
LA
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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