Individual
LAQUENTA VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
315 S. COLLIDGE RD STE 100, LAFAYETTE, LA 70503-3212
(337) 205-6073
(337) 264-9282
Mailing address
315 S. COLLIDGE RD STE 100, LAFAYETTE, LA 70501-3212
(337) 205-6073
(337) 264-9282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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