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NPI 1578477790

NPI 1578477790 : VEAN RADEMEYER MA, PLPC : LAKE CHARLES, LA

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General NPI Number Information
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    NPI Number           |    1578477790
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    Entity Type          |    Individual 
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    Provider Name        |    VEAN RADEMEYER MA, PLPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    196 WILLIAMSBURG ST 
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    City                 |    LAKE CHARLES
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    State                |    LA
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    Zip                  |    70605-5720
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    Country              |    US
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    Telephone            |    337-656-0555
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    Fax                  |    337-656-0543
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Provider Business Mailing Address
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    Address Line         |    5910 CAMELLIA WAY 
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    City                 |    LAKE CHARLES
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    State                |    LA
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    Zip                  |    70605-3107
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    PLC11542
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    License Number State |    LA
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