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Individual

MS. MELINDA MARIE VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBT,LAC

Contact information

Practice address
1901 AIRLINE DR, SUITE B, METAIRIE, LA 70001-5936
(504) 833-4673
(504) 885-0400
Mailing address
1901 AIRLINE DR, SUITE B, METAIRIE, LA 70001-5936
(504) 833-4673
(504) 885-0400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
981
LA
101YP1600X
Pastoral Counselor
LA

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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