Individual
EDIE MARIE JEANLOUIS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-3207
(337) 534-0254
(337) 534-0542
Mailing address
300 WILLOW WOOD DR, NEW IBERIA, LA 70563-0977
(337) 579-0881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
11/10/2021
Last updated
02/28/2022
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