Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 5557 | LA |
NPI | 1003283383 |
---|---|
Provider Name | Laura Neal |
First Address | Alexandria, LA 71303-2351 |
Second Address | Alexandria, LA 71303-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2015 |
Last Update Date | 21/08/2015 |