Individual
MRS. GRETCHEN BORNE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
121 E 5TH ST, CROWLEY, LA 70526-4425
(337) 788-7515
(337) 788-7626
Mailing address
1822 WEST 2ND STREET, CROWLEY, LA 70526-4425
(337) 788-7511
(337) 788-7588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC1070
LA
Other
Enumeration date
07/21/2006
Last updated
09/19/2012
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