Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 3412 | LA |
NPI | 1245774488 |
---|---|
Provider Name | Sherry Verdel |
First Address | Baton Rouge, LA 70806-5922 |
Second Address | Baton Rouge, LA 70806-5922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2016 |
Last Update Date | 07/12/2016 |