Individual
JANICE PROMISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.S.
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
Mailing address
PO BOX 244, VIDALIA, LA 71373-0244
(318) 840-9570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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