Individual
NATHELDA G BAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19295 N 3RD ST STE 2, COVINGTON, LA 70433-8897
(985) 400-5901
(985) 400-5901
Mailing address
816 W 29TH AVE, COVINGTON, LA 70433-1404
(985) 285-4610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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