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Individual

MS. GLORIA J MAYRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LAC, NCC

Contact information

Practice address
777 DELMAR RD, MORGAN CITY, LA 70380-5342
(985) 498-1506
(985) 399-0172
Mailing address
220 SOUTHEAST BLVD, APT. #2, MORGAN CITY, LA 70380-5658
(985) 498-1506
(985) 399-1072

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1127
LA
101YP2500X
Professional Counselor
Primary
2926
LA

Other

Enumeration date
01/08/2010
Last updated
01/08/2010
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