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Individual

MRS. PAMELA T MONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7341 JEFFERSON HWY STE B, BATON ROUGE, LA 70806-8203
(225) 293-2255
Mailing address
7341 JEFFERSON HWY STE B, BATON ROUGE, LA 70806-8203
(225) 293-2255

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
972
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F5230
BLUE CROSS PROVIDER #
LA
Enumeration date
07/27/2006
Last updated
08/08/2025
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