Individual
MR. SCOTT MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1442 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3406
(337) 250-5798
Mailing address
1442 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3406
(337) 250-5798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5659
LA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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