Individual
STEPHAN MICHAEL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1258 BROWNSWITCH RD STE C, SLIDELL, LA 70461-1606
(215) 292-3425
Mailing address
28 PARK PLACE DR APT 409, COVINGTON, LA 70433-8958
(215) 292-3425
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7895
LA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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