Individual
JARED MARCEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 BERTRAND DR, LAFAYETTE, LA 70506-5632
(337) 261-8781
Mailing address
116 BERTRAND DR, LAFAYETTE, LA 70506-5632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
11/05/2019
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