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Individual

DR. ASHLEY CONSTANCE CAREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
412 LAFAYETTE ST, GRETNA, LA 70053-5934
(504) 915-1377
Mailing address
412 LAFAYETTE ST, GRETNA, LA 70053-5934
(504) 915-1377

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5539
LA
101YM0800X
Mental Health Counselor
Primary
5539
LA
101YP2500X
Professional Counselor
5539
LA
101YS0200X
School Counselor
5539

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14237513
CAQH
LA
01
82-5055175
TAX ID
Enumeration date
04/12/2018
Last updated
08/16/2019
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