Individual
MARK HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
513 SOPHIA ST, RIVER RIDGE, LA 70123-1137
(504) 738-9126
Mailing address
513 SOPHIA ST, RIVER RIDGE, LA 70123-1137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3197
LA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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