Individual
MRS. PAMELA THOMAS AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 WESTWOOD DR, MARRERO, LA 70072-2400
(504) 340-8880
Mailing address
392 JEFFER DR, WESTWEGO, LA 70094-2187
(504) 250-7259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT4031
LA
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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