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Individual

ALEXIS VICTORIA AMBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC

Contact information

Practice address
2320 DRUSILLA LN STE E, BATON ROUGE, LA 70809-1495
(225) 930-4530
Mailing address
8533 GRAND VIEW DR, BATON ROUGE, LA 70809-5201

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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