KELLY LINER DEROUEN LPC-S LMFT NCC NCSC SUPERVISOR LLC NPI 1073530903

NPI Information

KELLY LINER DEROUEN, LPC-S, LMFT, NCC, NCSC, SUPERVISOR LLC is a professional counselor in Houma, LA. KELLY LINER DEROUEN, LPC-S, LMFT, NCC, NCSC, SUPERVISOR LLC NPI is 1073530903. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kelly Liner Derouen.

The provider's business location address is:

547 BAYOU DULARGE ROAD
HOUMA, LA
ZIP 70363
Phone: (985) 876-5748

The provider's authorized official is Kelly Liner Derouen .
The authorized official title is Counselor and has the following contact phone number (985) 876-5748.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 11/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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