Individual
MARISSA LASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
203 ALLENDALE DR, PORT ALLEN, LA 70767-3219
(225) 389-1311
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8618
LA
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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