Individual
MS. CAROLYN DISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5 SECURITY BLVD STE F, HOUMA, LA 70360-2780
(985) 709-9147
(985) 876-5551
Mailing address
1647 SAVANNE RD, HOUMA, LA 70360-8907
(985) 855-7769
(985) 876-5551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC 636
LA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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