Individual
AMANDA STAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
5630 CROWDER BLVD, NEW ORLEANS, LA 70127-2429
(504) 241-6006
Mailing address
5630 CROWDER BLVD, NEW ORLEANS, LA 70127-2429
(504) 241-6006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13915
LA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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