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Individual

GRETCHEN SENN DISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3781
LA
101YP2500X
Professional Counselor
Primary
3781
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3547775
LA
Enumeration date
12/10/2019
Last updated
07/17/2026
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