Individual
MS. MARY KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
542 COLUMBIA ST, BOGALUSA, LA 70427-4720
(985) 735-9448
Mailing address
542 COLUMBIA ST, BOGALUSA, LA 70427-4720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1612
LA
101YP2500X
Professional Counselor
1612
LA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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