Individual
MRS. MARELLA MAE FUSELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6408
(337) 373-2135
(337) 373-0125
Mailing address
PO BOX 363, CARENCRO, LA 70520-0363
(337) 896-7202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
809
LA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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