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Individual

MR. MAYANCE JOSEPH MATHIEU JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA., LPC

Contact information

Practice address
7378 HIGHWAY 90 E, LAKE CHARLES, LA 70615-4803
(337) 436-7553
(337) 436-8291
Mailing address
2733 RUE CANNES DR, LAKE CHARLES, LA 70605-4044
(337) 540-3427
(337) 436-8291

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4053
LA

Other

Enumeration date
03/04/2013
Last updated
03/04/2013
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