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NPI Code Detail

MEDICARE: CANDICE DESROCHES CIT

MEDICARE: CANDICE DESROCHES CIT
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1518756774
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE DESROCHES CIT
Provider Business Mailing Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-267-9972
Fax Number : 985-273-9972
Provider Business Practice Location Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-267-9972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/05/2025

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Directions to “ CANDICE DESROCHES CIT” Practice Location

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