Individual
MRS. DEAUNDRA THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAC
Contact information
Practice address
648 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
(337) 332-4878
(337) 332-4866
Mailing address
296 RICHARD ST, SUNSET, LA 70584-5123
(337) 678-9669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5044
LA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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