Provider Demographics
NPI:1548586944
Name:PAUL, MARKETA ALONDA (LAC)
Entity Type:Individual
Prefix:MS
First Name:MARKETA
Middle Name:ALONDA
Last Name:PAUL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-2821
Mailing Address - Country:US
Mailing Address - Phone:985-543-4070
Mailing Address - Fax:985-543-4073
Practice Address - Street 1:403 MARKET ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2821
Practice Address - Country:US
Practice Address - Phone:985-543-4070
Practice Address - Fax:985-543-4073
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA843101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)