Individual
MRS. STACY JO HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, NCC
Contact information
Practice address
1112 S.E. ASCENSION COMPLEX AVENUE, GONZALES, LA 70737
(225) 621-1116
(225) 644-3208
Mailing address
1112 S.E. ASCENSION COMPLEX, GONZALES, LA 70737
(225) 621-1116
(225) 644-3208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI 4621
LA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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