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NPI Code Detail

MEDICARE: REBECCA LYNNE CHRETIEN LPC

MEDICARE: REBECCA LYNNE CHRETIEN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3703LA

General Provider Information

NPI Number : 1073764478
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LYNNE CHRETIEN LPC
Provider Business Mailing Address
First Line : 449 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-321-9204
Fax Number : 337-321-9210
Provider Business Practice Location Address
First Line : 449 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-321-9204
Fax Number : 337-321-9210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 04/28/2021

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