Individual
CARLA DENISE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 INEICHEN ST, SUITE A, RAYVILLE, LA 71269
(318) 417-7780
Mailing address
114 INEICHEN ST STE A, RAYVILLE, LA 71269-3223
(318) 417-7780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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