Individual
DIANE COUSSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 MACARTHUR DR, SUNSET, LA 70584-6212
(337) 662-3737
Mailing address
516 ROOSEVELT ST, LAFAYETTE, LA 70503-2113
(337) 693-9798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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