Individual
MS. LEISA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 LA HWY 19 SUITE 3B, ZACHARY, LA 70791
(225) 757-5699
(225) 757-4845
Mailing address
4242 LA HWY 19 SUITE 3B, ZACHARY, LA 70791
(225) 757-5699
(225) 757-4845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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