Individual
DESTINY AIREL DAVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 367-6630
Mailing address
3140 BARBWOOD DR, HARVEY, LA 70058-1623
(504) 261-1421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
07/31/2023
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