Individual
MELISSA ANN MISTROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1011 HARDING ST, LAFAYETTE, LA 70503-2411
(337) 654-1734
Mailing address
1011 HARDING ST, LAFAYETTE, LA 70503-2411
(337) 654-1734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4100
LA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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