Individual
REBEKAH DIAL DAUGEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
143 RIDGEWAY DR, LAFAYETTE, LA 70503-3414
(337) 277-9055
Mailing address
104 RIDGELA CIR, DUSON, LA 70529-4210
(337) 277-9055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
5894
LA
101YP2500X
Professional Counselor
5894
LA
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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