Individual
MR. RALPH J MELANCON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, CCS, SAP
Contact information
Practice address
132 W SAINT PETER ST, NEW IBERIA, LA 70560-3743
(337) 364-9094
Mailing address
132 W SAINT PETER ST, NEW IBERIA, LA 70560-3743
(337) 364-9094
(337) 680-3008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
459
LA
Other
Enumeration date
08/24/2016
Last updated
03/17/2018
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