Individual
LAURA LYNNE DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
845 HIGHWAY 96 S, SILSBEE, TX 77656-5809
(409) 386-6772
Mailing address
1960 LONG ST, BEAUMONT, TX 77701-1654
(409) 386-6772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10532
LICENSE NO.
TX
Enumeration date
08/17/2011
Last updated
08/17/2011
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