Individual
DARLENE TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LEMAIRE ST, NEW IBERIA, LA 70560-4811
(337) 365-2343
Mailing address
14 SHADOW BND, NEW IBERIA, LA 70563-1757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7279
LA
171M00000X
Case Manager/Care Coordinator
PLC7279
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7279
—
LA
Enumeration date
04/23/2017
Last updated
09/16/2024
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