Individual
MALLORY TRANAEE GOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY BLDG I, LAFAYETTE, LA 70508-7013
(337) 895-0300
(337) 210-7064
Mailing address
4906 AMBASSADOR CAFFERY PKWY BLDG I, LAFAYETTE, LA 70508-7013
(337) 895-0300
(337) 210-7064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9422
LA
Other
Enumeration date
05/17/2017
Last updated
09/08/2025
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