Individual
MS. BERNETTA V VICTORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, CCGC
Contact information
Practice address
220 S MARKET ST, OPELOUSAS, LA 70570-5140
(337) 948-0226
(337) 948-0303
Mailing address
220 S MARKET ST, OPELOUSAS, LA 70570-5140
(337) 948-0226
(337) 948-0303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC 817
LA
101YP2500X
Professional Counselor
CCGC 1005
LA
Other
Enumeration date
02/13/2012
Last updated
01/14/2019
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