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EVAN MEKAIL ANTHONY LPC

Individual Provider (NPI-1) Active

Counselor, Professional

Provider Information

NPI Number
1427790492
Provider Type
Individual Provider (NPI-1)
Credentials
LPC
Status
Active

Contact & Location

Address
2102 FLOYD PARK DR STE 2, RUSTON, LA, 712706631
Phone
(318) 255-2922
Fax
(318) 255-2722

Specialties & Taxonomies

Counselor, Professional Primary License: LA #9406

All Addresses

MAILING

1105 HUDSON LN

MONROE, LA, 712016003

(318) 322-6500

LOCATION

2102 FLOYD PARK DR STE 2

RUSTON, LA, 712706631

(318) 255-2922