Individual
MICKIE SEASTRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
104 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 238-0814
Mailing address
104 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 238-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1285
LA
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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