Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 7988 | LA |
Y | 101YM0800X | Mental Health Counselor | 7988 | LA |
N | 101YP1600X | Pastoral Counselor | 7988 | LA |
N | 101YP2500X | Professional Counselor | 7988 | LA |
NPI | 1093357717 |
---|---|
Provider Name | Julie Este-Mcdonald |
First Address | Lake Charles, LA 70605-0299 |
Second Address | Lake Charles, LA 70605-5700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2019 |
Last Update Date | 21/02/2020 |