Individual
TESSIA GUILLORY REQUENA-OZENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 W PINHOOK RD STE 107H, LAFAYETTE, LA 70503-3100
(337) 534-0770
Mailing address
PO BOX 128, YOUNGSVILLE, LA 70592-0128
(337) 550-5309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8147
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/02/2017
Last updated
01/17/2024
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