Individual
RYAN DEROUSSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6305 ELYSIAN FIELDS AVE STE 405, NEW ORLEANS, LA 70122-4284
(504) 324-7332
Mailing address
6305 ELYSIAN FIELDS AVE STE 405, NEW ORLEANS, LA 70122-4284
(504) 324-7332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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