Individual
DESTINY LAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 VEROT SCHOOL RD, LAFAYETTE, LA 70508-5026
(337) 703-2806
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
09/02/2024
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