Individual
MS. MARY LASKEISHA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
4012 CARTER ST, VIDALIA, LA 71373-3013
(318) 336-8383
Mailing address
4012 CARTER ST, VIDALIA, LA 71373-3013
(318) 336-8383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
04/06/2016
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