Ian Matthew Dermody, LPC
Counselor, Professional in Gretna, LA. Individual provider (NPI-1).
NPI number1952863243
StatusActive
Last updated in NPPESApr 4, 2019
Details
- NPI
- 1952863243
- Entity type
- Individual (NPI-1)
- Name
- Ian Matthew Dermody
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2019
- Last updated
- Apr 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6759 | LA | Yes |
Practice location
252 Hector Ave Ste AGretna, LA 70056-2548
Phone 504-435-1444 · Fax 504-372-2775
Mailing address
252 Hector Ave Ste AGretna, LA 70056-2548
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