Individual
DORIE LEJEUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ASMA BLVD STE 200, LAFAYETTE, LA 70508
(337) 456-7880
Mailing address
100 ASMA BLVD STE 200, LAFAYETTE, LA 70508-3868
(337) 456-7880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366946907
—
LA
Enumeration date
03/20/2018
Last updated
06/08/2018
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