Individual
JANELL DAVIS MOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 KALISTE SALOOM RD, LAFAYETTE, LA 70508
(337) 501-3000
Mailing address
850 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4230
(337) 501-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5391
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/09/2016
Last updated
12/21/2022
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