Individual
JACQUE LEE ROBINSON-RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAC
Contact information
Practice address
2020 W PINHOOK RD STE 504, LAFAYETTE, LA 70508-3212
(337) 214-2100
(337) 284-3559
Mailing address
2020 W PINHOOK RD STE 504, LAFAYETTE, LA 70508-3212
(337) 214-2100
(337) 284-3559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1648
LA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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