Individual
HEATHER DUFRENE THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FOREST GROVE DR, YOUNGSVILLE, LA 70592-6183
(213) 359-6217
Mailing address
230 THOROUGHBRED DR, LAFAYETTE, LA 70507-2562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
09/22/2020
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