Individual
MISS JEANNE ELIZABETH FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAC
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-5464
(337) 262-1272
Mailing address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-5464
(337) 262-1272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RAC 1301
LA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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