Individual provider · Type 1 NPI

Mellisa Lau Booth

Mental Health Counselor · Lake Charles, LA

NPI number 1154851038 Active

Practice location

2829 4th Ave
Lake Charles, LA 70601-7887

Fax (337) 474-4552

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6369 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1154851038

Mellisa Lau Booth's National Provider Identifier is 1154851038, issued on Jun 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Jul 21, 2022.