Individual
MRS. KIMBERLY RAGAS-MATALAMAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 FARAC LANE, PORT SULPHUR, LA 70083-0945
(504) 419-7145
Mailing address
PO BOX 945, PORT SULPHUR, LA 70083-0945
(504) 419-7145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
7186
LA
Other
Enumeration date
02/18/2016
Last updated
11/04/2021
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