Individual provider · Type 1 NPI

Waltresa Mayo

Mental Health Counselor · Lafayette, LA

NPI number 1477093490 Active

Practice location

105 Iron Wood Way
Lafayette, LA 70508-8081

Call (404) 429-0150 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477093490

Waltresa Mayo's National Provider Identifier is 1477093490, issued on Feb 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Feb 24, 2017.