Individual
MRS. DENISE FAVARON MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3349 RIDGELAKE DR STE 103, METAIRIE, LA 70002-3851
(504) 315-5165
Mailing address
8620 CARRIAGE RD, RIVER RIDGE, LA 70123-3604
(504) 451-6539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2232
LA
101YP2500X
Professional Counselor
Primary
2232
LA
Other
Enumeration date
07/16/2013
Last updated
07/21/2022
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