Individual
MRS. REGINA L ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5615D JACKSON STREET EXT, ALEXANDRIA, LA 71303-2326
(318) 442-9999
(318) 442-9976
Mailing address
5615D JACKSON STREET EXT, ALEXANDRIA, LA 71303-2326
(318) 442-9999
(318) 442-9976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2326
LA
Other
Enumeration date
08/29/2006
Last updated
01/18/2013
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