Organization
DANA DUET-CHAMPAGNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DUET-CHAMPAGNE (PRESIDENT)
(504) 250-7701
Entity
Organization
Contact information
Practice address
5001 HIGHWAY 190 EAST SERVICE RD, SUITE D-2, OFFICE 2, COVINGTON, LA 70433-4930
(504) 250-7701
Mailing address
PO BOX 549, MADISONVILLE, LA 70447-0549
(504) 250-7701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4726
LA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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