Individual
MRS. WALTHENA COVINA GOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10943 MAY BELLE CT, BATON ROUGE, LA 70815-5102
(678) 438-1103
Mailing address
10943 MAY BELLE CT, BATON ROUGE, LA 70815-5102
(678) 438-1103
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1184
LA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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