Individual
MS. WANDA FAYE VENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 CHAPPUIS DR, LAFAYETTE, LA 70501-3656
(337) 277-6611
Mailing address
221 VEROT SCHOOL RD APT 437, LAFAYETTE, LA 70508-8246
(337) 277-6611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
6885
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6885
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6885
LA STATE BOARD OF SOCIAL WORKERS
LA
Enumeration date
10/11/2017
Last updated
06/23/2023
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