Individual
LISA KATE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CIT
Contact information
Practice address
100 POYDRAS ST, LAFAYETTE, LA 70501-4740
(337) 231-6365
(337) 231-6371
Mailing address
100 POYDRAS ST, LAFAYETTE, LA 70501-4740
(337) 231-6365
(337) 231-6371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4150
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023459559
—
LA
Enumeration date
02/05/2019
Last updated
02/05/2019
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