Individual
LEONA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 E MAIN ST STE D, NEW IBERIA, LA 70560-4056
(337) 256-5917
Mailing address
1614 E MAIN ST STE D, NEW IBERIA, LA 70560-4056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
05/11/2016
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