person
Courtney Michelle Short-prudhomme
Peer Specialist in Lake Charles, Louisiana
NPI 1215559794

Courtney Michelle Short-prudhomme is a Peer Specialist based in Baton Rouge, LA. Courtney Michelle Short-prudhomme practices in Lake Charles, LA. The NPI Number for Courtney Michelle Short-prudhomme is 1215559794 and holds a License No. (Louisiana).

The current practice location address for Courtney Michelle Short-prudhomme is 751 Bayou Pines East Dr Ste C, Lake Charles, LA and can be reached out via phone at 337-433-3292.

Location: 751 Bayou Pines East Dr Ste C, Lake Charles, LA, 70806-4803
person
Provider Profile Details
NPI Number
1215559794
Provider Name
Courtney Michelle Short-prudhomme
Credential
Provider Entity Type
Individual
Gender
Female
Address
751 Bayou Pines East Dr Ste C, Lake Charles, LA, 70806-4803
Phone Number
337-433-3292
Fax Number
Provider Enumeration Date
05/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
751 Bayou Pines East Dr Ste C
City
State
Zip
70601-7196
Phone Number
337-433-3292
Fax Number
person
Provider Business Mailing Address Details
Address
751 Bayou Pines East Dr Ste C
City
State
Zip
70601-7196
Phone Number
337-433-3292
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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