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Individual

MS. PERCIVAL CHIQUITA DYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
371 SPRINGFIELD RD, BATON ROUGE, LA 70807
(866) 311-7565
(866) 311-7565
Mailing address
PO BOX 308, BAKER,, LA 70704-0308
(866) 311-7565
(866) 311-7565

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14015
TX
101YM0800X
Mental Health Counselor
Primary
2120
LA
106H00000X
Marriage & Family Therapist
975
LA

Other

Enumeration date
07/26/2006
Last updated
09/20/2012
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