Individual
MELAINEA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 AP LOOP, OLLA, LA 71465
(318) 450-7136
Mailing address
118 AP LOOP, OLLA, LA 71465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
7673
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
10/20/2016
Last updated
12/08/2021
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