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Individual

KELLY LINER DEROUEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC,LMFT,NCC,NCSC

Contact information

Practice address
547 BAYOU DULARGE ROAD, HOUMA, LA 70363
(985) 876-5748
Mailing address
547 BAYOU DULARGE ROAD, HOUMA, LA 70363
(985) 876-5748

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2492
LA
101YP2500X
Professional Counselor
2492
LA
101YS0200X
School Counselor
74931
LA
106H00000X
Marriage & Family Therapist
72
LA

Other

Enumeration date
07/19/2006
Last updated
09/11/2025
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