| Kelly Liner Derouen, Lpc-s, Lmft, Ncc, Ncsc, Supervisor Llc | |
|
547 Bayou Dularge Road Houma LA 70363 | |
| (985) 876-5748 | |
| Not Available |
| Full Name | Kelly Liner Derouen, Lpc-s, Lmft, Ncc, Ncsc, Supervisor Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 547 Bayou Dularge Road, Houma, Louisiana |
| Authorized Official Name and Position | Kelly Liner Derouen (COUNSELOR) |
| Authorized Official Contact | 9858765748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Liner Derouen, Lpc-s, Lmft, Ncc, Ncsc, Supervisor Llc 547 Bayou Dularge Road Houma LA 70363 Ph: (985) 876-5748 | Kelly Liner Derouen, Lpc-s, Lmft, Ncc, Ncsc, Supervisor Llc 547 Bayou Dularge Road Houma LA 70363 Ph: (985) 876-5748 |
| NPI Number | 1073530903 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 11/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073530903 | NPI | - | NPPES |
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