Individual
PAMELA LASTER CARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LPC
Contact information
Practice address
1742 W KENTUCKY AVE, RUSTON, LA 71270-9581
(318) 243-2231
Mailing address
1742 W KENTUCKY AVE, RUSTON, LA 71270-9581
(318) 243-2231
(318) 450-6728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1647
LA
101YM0800X
Mental Health Counselor
Primary
7153
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72-1407758
IRS
—
Enumeration date
05/16/2010
Last updated
05/02/2025
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