Individual
DARRELL COMANCHE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
1800 STUBBS AVE, MONROE, LA 71201
(318) 730-9540
Mailing address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(318) 417-7780
(318) 728-1140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
05/30/2018
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