Individual
MRS. CATHERINE VICKNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
8755 SULLIVAN RD STE 3A, BATON ROUGE, LA 70818-6031
(225) 412-6405
Mailing address
18456 LAKE CAMELLIA AVE, BATON ROUGE, LA 70817-9500
(859) 533-1606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7360
LA
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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