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Virginia Alice Baldassaro, LPC

Counselor, Professional in Covington, LA. Individual provider (NPI-1).

NPI number1316342876
StatusActive
Last updated in NPPESJul 14, 2023

Details

NPI
1316342876
Entity type
Individual (NPI-1)
Name
Ms. Virginia Alice Baldassaro
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2014
Certification date
Jul 14, 2023
Last updated
Jul 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional5693LAYes

Other names

  • Virginia Alice Canfield (Former Name)

Practice location

814 W 21st Ave
Covington, LA 70433-7405

Phone 985-200-3382

Mailing address

814 W 21st Ave
Covington, LA 70433-7405

Phone 985-200-3382

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