Individual
MR. YANCEY JOSEPH MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
1822 W. 2ND ST., CROWLEY, LA 70526
(337) 788-7511
Mailing address
220 DRIFTWOOD DR, LAFAYETTE, LA 70503-6020
(337) 981-7219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2439
LA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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