Individual provider · Type 1 NPI

Aliciah Kae Souza, B.S.

Mental Health Counselor · Bastrop, LA

NPI number 1154873388 Active

Practice location

644 E Jefferson Ave
Bastrop, LA 71220-4619

Call (318) 239-3862 Map

Fax (318) 239-3867

Mailing address

810 E Pecan Ave
Bastrop, LA 71220-5124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X471411453 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1154873388

Aliciah Kae Souza, B.S.'s National Provider Identifier is 1154873388, issued on Nov 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bastrop, LA. The record was last updated on Nov 4, 2016.