| Lyn Hassenboehler, Lcsw Counseling Services, Llc | |
|
12320 Highway 44 Bldg 3d Gonzales LA 70737-2202 | |
| (225) 456-0093 | |
| (888) 494-0963 |
| Full Name | Lyn Hassenboehler, Lcsw Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12320 Highway 44, Gonzales, Louisiana |
| Authorized Official Name and Position | Lyn Hassenboehler (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2254560093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyn Hassenboehler, Lcsw Counseling Services, Llc 12320 Highway 44 Bldg 3d Gonzales LA 70737-2202 Ph: (225) 456-0093 | Lyn Hassenboehler, Lcsw Counseling Services, Llc 12320 Highway 44 Bldg 3d Gonzales LA 70737-2202 Ph: (225) 456-0093 |
| NPI Number | 1437555042 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437555042 | NPI | - | NPPES |
| 600944303 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3340 (Louisiana) | Primary |
| 251S00000X | Community/behavioral Health | 3340 (Louisiana) | Secondary |
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