Individual
MRS. IVA K. CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2802 HODGES ST, LAKE CHARLES, LA 70601-7368
(337) 419-1873
Mailing address
2802 HODGES ST, LAKE CHARLES, LA 70601-7368
(337) 309-9339
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
208357
LA
Other
Enumeration date
04/06/2007
Last updated
07/17/2023
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