Individual
MR. ELTON DEROUEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
Mailing address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
(225) 926-9708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9877
LA
101YM0800X
Mental Health Counselor
1568189918
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/26/2022
Last updated
09/11/2024
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