Individual
MRS. BLAKELY LAUREN BROWN-WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
23861 ROBIN ROAD, MANDEVILLE, LA 70448-1225
(985) 624-4100
(985) 624-4123
Mailing address
PO BOX 1225, MANDEVILLE, LA 70470-1225
(985) 624-4100
(985) 624-4123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC 1332
LA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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