Individual
MS. REGINA M DEKEYZER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 487-9895
(318) 443-9116
Mailing address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 487-9895
(318) 443-9116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA3902
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304662
—
LA
Enumeration date
06/03/2006
Last updated
07/08/2007
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