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Individual

MRS. JESSI L LASALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
4906 AMBASSADOR CAFFERY PKWY BLDG I, LAFAYETTE, LA 70508-7013
(337) 349-5431
(337) 210-7064
Mailing address
113 CEZANNE DR, RAYNE, LA 70578-2744
(337) 342-5850

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8895
LA

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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