Individual
MARIA VIVIANA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
(337) 210-5844
Mailing address
6031 MAIN HWY, SAINT MARTINVILLE, LA 70582-6610
(813) 215-7809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLPC7862
LA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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