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Individual

MRS. JANIS DUNNING CASERTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., NCC, CIT

Contact information

Practice address
1007 E 17TH AVE, COVINGTON, LA 70433-3773
(985) 892-1604
(985) 892-1604
Mailing address
1007 E 17TH AVE, COVINGTON, LA 70433-3773
(985) 892-1604
(985) 892-1604

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2380
LA
101YM0800X
Mental Health Counselor
Primary
207743
LA

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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