Provider Demographics
NPI:1275874174
Name:VETRANO, ELIZABETH PEARSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:PEARSON
Last Name:VETRANO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1300 HUDSON LN
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6066
Mailing Address - Country:US
Mailing Address - Phone:318-322-6500
Mailing Address - Fax:318-322-5118
Practice Address - Street 1:1300 HUDSON LN
Practice Address - Street 2:SUITE 10
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6066
Practice Address - Country:US
Practice Address - Phone:318-322-6500
Practice Address - Fax:318-322-5118
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-03
Last Update Date:2013-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional