Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2851 | LA |
NPI | 1003137324 |
---|---|
Provider Name | Dr. Karen L. Daboval |
First Address | Metairie, LA 70001-5334 |
Second Address | Metairie, LA 70001-5334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 16/08/2015 |