Individual provider · Type 1 NPI

Stephan Michael Pruitt, LPC

Professional Counselor · Slidell, LA

NPI number 1558006353 Active

Practice location

1258 Brownswitch Rd Ste C
Slidell, LA 70461-1606

Mailing address

28 Park Place Dr Apt 409
Covington, LA 70433-8958

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7895 (LA)

Professional Counselor: Definition to come...

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About NPI 1558006353

Stephan Michael Pruitt, LPC's National Provider Identifier is 1558006353, issued on May 5, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Slidell, LA. The record was last updated on May 5, 2022.