Individual
ALEXIS MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4574 CEDAR DR, BASTROP, LA 71220-4802
(318) 294-5665
Mailing address
4574 CEDAR DR, BASTROP, LA 71220-4802
(318) 294-5665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009122762
LA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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