Individual
BRITTANY ANNE OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1716 HARTFORD STREET, LAFAYETTE, IN 47904-2138
(765) 742-1567
Mailing address
1716 HARTFORD STREET, LAFAYETTE, IN 47904-2138
(765) 742-1567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34008225A
IN
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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