Individual
CEDRICK DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203
(318) 343-6966
(318) 345-7123
Mailing address
109 BERNICE DR, MONROE, LA 71201-7621
(318) 516-6454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
LA
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
05/14/2018
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