Individual
MELISSA HALL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10500 SAM RUSHING RD, BATON ROUGE, LA 70816-2000
(225) 366-7041
Mailing address
1045 THURMAN DR, BATON ROUGE, LA 70806-7754
(225) 362-8564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6651
LA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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