Individual
KAREN ALETA JACOBS SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 VIOLA ST, MANDEVILLE, LA 70448-8609
(985) 750-2846
Mailing address
78024 HIGHWAY 21, BUSH, LA 70431-4603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3045
LA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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