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NPI 1720739220

NPI 1720739220 : ANNA ELIZABETH JUAREZ LPC : LAFAYETTE, LA

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General NPI Number Information
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    NPI Number           |    1720739220
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA ELIZABETH JUAREZ LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/16/2022
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    1211 COOLIDGE BLVD STE 303 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70503-2636
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    Country              |    US
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    Telephone            |    337-232-6697
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    Fax                  |    337-232-3147
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Provider Business Mailing Address
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    Address Line         |    100 WHIRLAWAY DR 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70507-2786
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    Country              |    US
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    Telephone            |    337-967-0385
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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       |    
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    License Number State |    
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