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General NPI Number Information
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NPI Number | 1184916827
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Entity Type | Individual
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Provider Name | MELISSA F DESFORGES LPC, LMFT, RPT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 44137 FORBES FARM DR
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City | HAMMOND
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State | LA
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Zip | 70403-4774
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Country | US
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Telephone | 985-373-3634
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Fax | 866-339-0569
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Provider Business Mailing Address
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Address Line | 44137 FORBES FARM DR
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City | HAMMOND
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State | LA
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Zip | 70403-4774
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Country | US
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Telephone | 985-373-3634
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 202466
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1140
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3585
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License Number State | LA
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