Individual
DONYELLE JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 BERTRAND DR STE 100, LAFAYETTE, LA 70506-5632
(337) 261-8781
Mailing address
1507 ELM ST, NEW IBERIA, LA 70560-6720
(337) 465-0614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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