Individual
IVY LATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715B WELDON ST, NEW IBERIA, LA 70560-4861
(337) 373-0021
Mailing address
715B WELDON ST, NEW IBERIA, LA 70560-4861
(337) 373-0021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11374
LA
1041C0700X
Clinical Social Worker
Primary
11374
LA
Other
Enumeration date
11/25/2015
Last updated
05/26/2021
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