Individual
PAULA CUSHENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(954) 947-3192
Mailing address
1724 N BURNSIDE AVE STE 7, GONZALES, LA 70737-2157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
06/19/2016
Last updated
02/24/2021
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