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Individual

MR. DANIEL JOHN JUREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.MIN., M.A

Contact information

Practice address
143 RIDGEWAY DR, SUITE 106, LAFAYETTE, LA 70503-3414
(337) 993-1960
(337) 993-1961
Mailing address
143 RIDGEWAY DR, SUITE 106, LAFAYETTE, LA 70503-3414
(337) 993-1960
(337) 993-1961

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2823
LA
106H00000X
Marriage & Family Therapist
MFT757
LA

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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