Lauren Antoinette House
Counselor in Laurel, MS. Individual provider (NPI-1).
NPI number1366089211
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1366089211
- Entity type
- Individual (NPI-1)
- Name
- Lauren Antoinette House
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
119 S 12th AveLaurel, MS 39440-4322
Phone 601-342-8125
Mailing address
800 E River Pl Ste 100Jackson, MS 39202-3402
Phone 313-645-6515
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