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NPI Code Detail

MEDICARE: CEDRICK DOUCET MSW

MEDICARE:   CEDRICK  DOUCET  MSW
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
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1013462555
Entity Type Code : Individual
Provider Name (Legal Business Name) : CEDRICK DOUCET MSW
Provider Business Mailing Address
First Line : 2400 VETERANS MEMORIAL BLVD
Second Line : SUITE 215
City : KENNER
State : LA
Zip : 70062-4715
Country : US
Telephone Number : 504-405-5280
Fax Number : 504-405-5434
Provider Business Practice Location Address
First Line : 2400 VETERANS MEMORIAL BLVD
Second Line : SUITE 215
City : KENNER
State : LA
Zip : 70062-4715
Country : US
Telephone Number : 504-405-5280
Fax Number : 504-405-5434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 07/31/2019

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Directions to “ CEDRICK DOUCET MSW” Practice Location

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