Individual
MELINDA GANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 HIGHWAY 19, SUITE 3B, ZACHARY, LA 70791-3981
(225) 757-5699
Mailing address
PO BOX 923, JACKSON, LA 70748-0923
(225) 368-7819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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