Individual
DANA ABISAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
654 BROCKENBRAUGH CT, METAIRIE, LA 70005-2712
(504) 914-3067
Mailing address
501 ASHBURY CT, MADISON, MS 39110-5524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC8590
LA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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