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Colin Brea Theriot Hanover, MED,NCC,LPC
Mental Health Counselor in Lafayette, Louisiana
NPI 1598376907

Colin Brea Theriot Hanover is a Mental Health Counselor based in Gueydan, LA and is specialized in Mental Health. Colin Brea Theriot Hanover practices in Lafayette, LA and has the professional credentials of MED,NCC,LPC. The NPI Number for Colin Brea Theriot Hanover is 1598376907 and holds a License No. 6468 (Louisiana).

The current practice location address for Colin Brea Theriot Hanover is 850 Kaliste Saloom Rd Ste 219, Lafayette, LA and can be reached out via phone at 337-504-4974 and via fax at 337-456-2434.

Location: 850 Kaliste Saloom Rd Ste 219, Lafayette, LA, 70542-5652
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Provider Profile Details
NPI Number
1598376907
Provider Name
Colin Brea Theriot Hanover
Credential
MED,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
850 Kaliste Saloom Rd Ste 219, Lafayette, LA, 70542-5652
Phone Number
337-504-4974
Fax Number
337-456-2434
Provider Enumeration Date
08/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3485761 05 LA
institution
Provider Business Practice Location Address Details
Address
850 Kaliste Saloom Rd Ste 219
City
State
Zip
70508-4230
Phone Number
337-504-4974
Fax Number
337-456-2434
person
Provider Business Mailing Address Details
Address
850 Kaliste Saloom Rd Ste 219
City
State
Zip
70508-4230
Phone Number
337-504-4974
Fax Number
337-456-2434
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6468 (Louisiana)
Definition
Definition to come...
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