Individual
NASTASHIA GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 VIOSCA ST, BOSSIER CITY, LA 71111-3645
(318) 517-0639
(318) 383-6685
Mailing address
2715 MACKEY PL STE 119, SHREVEPORT, LA 71118-2527
(318) 588-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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