Individual
KATHERINE LYNN VESTERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
282 ALEXANDRIA HWY, LEESVILLE, LA 71446-2146
(337) 404-7731
Mailing address
107 ALYENE DR UNIT D, LAFAYETTE, LA 70506-6860
(337) 230-6473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5555
LA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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