Individual
MR. DAVID PAUL WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
100 ASMA BLVD, LAFAYETTE, LA 70508-3858
(337) 456-7880
Mailing address
211 WOODLAND CIR, NEW IBERIA, LA 70563-2912
(337) 322-6899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
588
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
12/04/2018
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