Organization
ASSURE
Active
Organization
ASSURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELESTE HOLIDAY DELAFOSSE LCSW (COUNSELOR)
(337) 255-0172
Entity
Organization
Contact information
Practice address
1001 W PINHOOK RD, BUILDING 3 SUITE 207, LAFAYETTE, LA 70503-2448
(337) 255-0172
Mailing address
407 VENUS DR, LAFAYETTE, LA 70501-2523
(337) 255-0172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4214
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600745025
—
LA
Enumeration date
02/28/2014
Last updated
02/28/2014
Update your record
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