MEDICARE: LOUISE YVETTE LETTRE LCSW, LCAS-A

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1501263	SC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	21939	NC
3	1041C0700X	Clinical Social Worker	8680	SC
4	1041C0700X	Clinical Social Worker	C008650	NC

General Provider Information

NPI Number	:	1477668598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE YVETTE LETTRE LCSW, LCAS-A

Provider Business Mailing Address
First Line	:	70 WOODFIN PL STE 304
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2466
Country	:	US
Telephone Number	:	828-621-9119
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 WOODFIN PL STE 304
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2466
Country	:	US
Telephone Number	:	828-621-9119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	02/04/2021

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