Individual
CLAYTON DAVID LATIOLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
121 S AUDUBON BLVD, LAFAYETTE, LA 70503
(337) 288-4095
(337) 534-8057
Mailing address
121 S AUDUBON BLVD, LAFAYETTE, LA 70503-2527
(337) 288-4095
(337) 534-8057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6092
LA
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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