Individual
ERIN JENTRAY DESPANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 W SOUTH ST, APT. 1, OPELOUSAS, LA 70570-5100
(337) 323-9608
Mailing address
303 W SOUTH ST, APT. 1, OPELOUSAS, LA 70570-5100
(337) 323-9608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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