Individual
DEANNA MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC.
Contact information
Practice address
109 S CATE ST, HAMMOND, LA 70403-4299
(985) 969-7156
Mailing address
505 E CYPRESS ST, PONCHATOULA, LA 70454-2737
(985) 969-7156
(985) 370-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3178
LA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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