Individual
MARCUS ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 LAPIN RD, BREAUX BRIDGE, LA 70517-6477
(619) 368-0562
Mailing address
204 LAPIN RD, BREAUX BRIDGE, LA 70517-6477
(619) 368-0562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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