Individual
DANIELLE WOOD MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1505 N FLORIDA ST, COVINGTON, LA 70433-1544
(985) 871-6078
Mailing address
1505 N FLORIDA ST, COVINGTON, LA 70433-1544
(985) 871-6078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4482
LA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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