Individual
MRS. AMY ROSE FELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAC
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054
Mailing address
1318 W KENT DR, SULPHUR, LA 70663-5028
(337) 274-1511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1359 RAC
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2415 CIT
LA
Other
Enumeration date
05/30/2007
Last updated
09/12/2011
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