Individual
DARRIAN SOPHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 JEFFERSON TER STE E, NEW IBERIA, LA 70560
(337) 256-8704
Mailing address
902 JEFFERSON TER STE D, NEW IBERIA, LA 70560-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
06/28/2018
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