Most Relevant Information
Provider Data
NPI Number: | 1003285180 |
Provider Name: | LEEMARIE M SPATAFORA LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 4233 |
Most Important Dates
Enumeration Date: | 09/18/2015 |
Last Updated: | 03/07/2018 |
Provider Practice Location
11990 JACKSON ST
CLINTON
LA
707223210
Practice Location Phone/Fax
Phone: | 2256835292 |
Fax: | 2256833411 |
Provider Mailing Location
PO BOX 395
CLINTON
LA
707220395
Provider Mailing Phone/Fax
Phone: | 2256835292 |
Fax: | 2256833411 |