Organization
DANA JUDICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA JUDICE LCSW (OWNER/SOCIAL WORKER)
(337) 369-3000
Entity
Organization
Contact information
Practice address
411 WEEKS ST, NEW IBERIA, LA 70560-4551
(337) 369-3000
(337) 369-3001
Mailing address
411 WEEKS ST, NEW IBERIA, LA 70560-4551
(337) 369-3000
(337) 369-3001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19649867
—
LA
01
—
J7263
BLUECROSS
LA
Enumeration date
08/04/2014
Last updated
10/14/2014
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