Individual
MRS. JULIE IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4816 OGDEN RD, LAKE CHARLES, LA 70605-3918
(337) 287-9275
Mailing address
1264 STACI LN, SULPHUR, LA 70665-7951
(337) 287-9275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7451
LA
Other
Enumeration date
09/30/2020
Last updated
01/28/2024
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