Individual
CRYSTAL LEE BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.; CIT
Contact information
Practice address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6120
(337) 524-1419
Mailing address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6120
(337) 524-1419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4130
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
12/17/2024
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