Individual
BROOKE V DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, LPC
Contact information
Practice address
500 RODERICK ST, SUITE B, MORGAN CITY, LA 70380-2247
(985) 380-2460
(985) 380-2476
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1462
LA
101YP2500X
Professional Counselor
Primary
6278
LA
Other
Enumeration date
01/07/2011
Last updated
06/17/2022
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