Individual
PATRICE BRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
307 HAYES ST, RAYVILLE, LA 71269-2531
(318) 728-5488
Mailing address
307 HAYES ST, RAYVILLE, LA 71269-2531
(318) 728-5488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5030
LA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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