Individual
HAYLEA EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 S TRENTON ST, RUSTON, LA 71270-5040
(318) 251-4659
Mailing address
121 SAINT LANDRY ST, LAFAYETTE, LA 70506-3531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800277100
—
LA
Enumeration date
09/30/2015
Last updated
08/12/2019
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