Most Relevant Information
Provider Data
| NPI Number: | 1003490004 |
| Provider Name: | IRINA SLEPTSOVA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 15245 |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 05/06/2021 |
Provider Practice Location
23515 HIGHWAY 190
MANDEVILLE
LA
704487334
Practice Location Phone/Fax
| Phone: | 9856266317 |
| Fax: |
Provider Mailing Location
738 CLAIRE DR
MANDEVILLE
LA
704712861
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |