Individual
MYRNA QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
220 W LOUISIANA AVE, VIVIAN, LA 71082-2820
(318) 375-2780
Mailing address
220 W LOUISIANA AVE, VIVIAN, LA 71082-2820
(318) 375-2780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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