Individual
KEIONA MONAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6335
LA
Other
Enumeration date
12/12/2017
Last updated
06/17/2024
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