Individual
LAKESHIA BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SMART PL, SLIDELL, LA 70458-2040
(504) 241-6006
Mailing address
4903 TUPELO AVE, PASCAGOULA, MS 39581-4101
(228) 990-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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