Organization
COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY FAUST SMITH LPC, LMFT (MANAGER)
(985) 517-7034
Entity
Organization
Contact information
Practice address
12330 LAROCK, AMITE, LA 70422
(985) 517-7034
Mailing address
12330 LAROCK, AMITE, LA 70422
(985) 517-7034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2724
LA
106H00000X
Marriage & Family Therapist
851
LA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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