Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 6849 | LA |
N | 101YS0200X | School Counselor | 6849 | LA |
NPI | 1134872849 |
---|---|
Provider Name | Mrs. Suzonne Mccrory Morales |
First Address | Pearl River, LA 70452-3466 |
Second Address | Pearl River, LA 70452-3466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2022 |
Last Update Date | 02/02/2022 |