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Individual

ADAM KERSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLPC

Contact information

Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4100
Mailing address
19157 CROWLEY EUNICE HWY, CROWLEY, LA 70526-0801
(337) 514-2101
(337) 514-2105

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC9269
LA
171M00000X
Case Manager/Care Coordinator
PLC9269
LA

Other

Enumeration date
03/02/2023
Last updated
11/12/2024
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