Individual
MS. CALLIE ELIZABETH DESORMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8762
(337) 534-0027
Mailing address
3420 NE EVANGELINE TRWY, LAFAYETTE, LA 70507-2554
(337) 534-8679
(337) 534-0027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10416
LA
Other
Enumeration date
10/10/2024
Last updated
10/14/2024
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