Individual
DERRANEISHA L'ASHAE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W 2ND ST, THIBODAUX, LA 70301-3004
(985) 446-5244
(985) 446-5478
Mailing address
102 W 2ND ST, THIBODAUX, LA 70301-3004
(985) 446-5244
(985) 446-5478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PLC10197
LA
Other
Enumeration date
06/21/2021
Last updated
06/04/2024
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