Individual
JENNA-CLAIR COURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6120
Mailing address
7660 MADISON RD, MAURICE, LA 70555-3348
(337) 962-8181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5408
LA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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