Individual
MARY ARLENE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT LIASON
Contact information
Practice address
402 INDUSTRIAL DR, OBERLIN, LA 70655-3519
(337) 639-3001
(337) 639-3008
Mailing address
402 INDUSTRIAL DR, OBERLIN, LA 70655-3519
(337) 639-3001
(337) 639-3008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
175T00000X
Peer Specialist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710580
—
LA
Enumeration date
03/11/2013
Last updated
03/17/2021
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