Organization
KELLY LINER DEROUEN, LPC-S, LMFT, NCC, NCSC, SUPERVISOR LLC
Active
Other names
Kelly Liner Derouen
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY LINER DEROUEN LPC-S,LMFT,NCC,NCSC, (COUNSELOR)
(985) 876-5748
Entity
Organization
Contact information
Practice address
547 BAYOU DULARGE ROAD, HOUMA, LA 70363
(985) 876-5748
Mailing address
547 BAYOU DULARGE ROAD, HOUMA, LA 70363
(985) 876-5748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/16/2006
Last updated
11/24/2013
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