Provider Demographics
NPI:1326237009
Name:PALMER, SUZANNE P (MA,NCC,LAC,LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:P
Last Name:PALMER
Suffix:
Gender:F
Credentials:MA,NCC,LAC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 PETERMAN DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3432
Mailing Address - Country:US
Mailing Address - Phone:318-787-6805
Mailing Address - Fax:318-787-6818
Practice Address - Street 1:1412 PETERMAN DR
Practice Address - Street 2:SUITE A
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3432
Practice Address - Country:US
Practice Address - Phone:318-787-6805
Practice Address - Fax:318-787-6818
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4257101YP2500X
LA1316101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)