LASTACHIA HENDERSON

FARMERVILLE, LA
NPI1750145546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT-5671)
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
LASTACHIA HENDERSON
511 STERLINGTON HWY
FARMERVILLE, LA 71241-3122
Phone number: 318-309-1449
Mailing Address
LASTACHIA HENDERSON
5425 HIGHWAY 33
MARION, LA 71260-3126
Phone number: 646-248-3852
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