person
Aliciah Kae Souza, BS
Mental Health Counselor in Bastrop, Louisiana
NPI 1154873388

Aliciah Kae Souza is a Mental Health Counselor based in Bastrop, LA and is specialized in Mental Health. Aliciah Kae Souza practices in Bastrop, LA and has the professional credentials of BS. The NPI Number for Aliciah Kae Souza is 1154873388 and holds a License No. 471411453 (Louisiana).

The current practice location address for Aliciah Kae Souza is 644 E Jefferson Ave, Bastrop, LA and can be reached out via phone at 318-239-3862 and via fax at 318-239-3867.

Location: 644 E Jefferson Ave, Bastrop, LA, 71220-5124
person
Provider Profile Details
NPI Number
1154873388
Provider Name
Aliciah Kae Souza
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
644 E Jefferson Ave, Bastrop, LA, 71220-5124
Phone Number
318-239-3862
Fax Number
318-239-3867
Provider Enumeration Date
11/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
644 E Jefferson Ave
City
State
Zip
71220-4619
Phone Number
318-239-3862
Fax Number
318-239-3867
person
Provider Business Mailing Address Details
Address
644 E Jefferson Ave
City
State
Zip
71220-4619
Phone Number
318-239-3862
Fax Number
318-239-3867
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
471411453 (Louisiana)
Definition
Definition to come...
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