Individual
MS. ANNE M CHRISOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, LMFT
Contact information
Practice address
522 CLARENCE ST, LAKE CHARLES, LA 70601
(337) 214-3544
Mailing address
3725 LAKE ST, LAKE CHARLES, LA 70605-2643
(337) 214-3544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
67981
TX
101YP2500X
Professional Counselor
2016
LA
106H00000X
Marriage & Family Therapist
Primary
356
LA
Other
Enumeration date
02/04/2013
Last updated
05/10/2021
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