Organization
CARLA REEVES MA LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA REEVES LPC (OWNER)
(337) 274-5553
Entity
Organization
Contact information
Practice address
710 W PRIEN LAKE RD STE 104, LAKE CHARLES, LA 70601-8350
(337) 274-5553
Mailing address
1028 LIVE OAK ST, WESTLAKE, LA 70669-3108
(337) 274-5553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6373
LA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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