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NPI Code Detail

MEDICARE: SHAWN MARIE VERGES LPC

MEDICARE: SHAWN MARIE VERGES LPC
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
2101YP2500XProfessional Counselor6035LA

General Provider Information

NPI Number : 1932467974
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN MARIE VERGES LPC
Provider Business Mailing Address
First Line : 449 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-321-9204
Fax Number :
Provider Business Practice Location Address
First Line : 449 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-321-9204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2012
Last Update Date : 08/24/2021

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Directions to “ SHAWN MARIE VERGES LPC” Practice Location

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