Individual
MRS. ALLEGRA DEANN LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9661
(225) 223-6968
(225) 442-1396
Mailing address
59087 NATHAN GEORGETOWN ST, PLAQUEMINE, LA 70764-3035
(225) 776-6582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006878886
—
LA
Enumeration date
07/18/2018
Last updated
11/12/2019
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