Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 3585 | LA |
N | 101YS0200X | School Counselor | 202466 | LA |
NPI | 1184916827 |
---|---|
Provider Name | Mrs. Melissa F Desforges |
First Address | Hammond, LA 70403-4774 |
Second Address | Hammond, LA 70403-4774 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2011 |
Last Update Date | 03/11/2021 |