MR. DAVID M. FATHEREE LAC NPI 1790003358

NPI Information

NPI: 1790003358
Provider Name: MR. DAVID M. FATHEREE, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
114 REPRESENTATIVE ROW
LAFAYETTE, LA
ZIP 70508
Phone: (337) 412-6825
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MR. David M. Fatheree, LAC is an addiction (substance use disorder) counselor in Lafayette, LA. MR. David M. Fatheree, LAC NPI is 1790003358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 REPRESENTATIVE ROW
LAFAYETTE, LA
ZIP 70508-878
Phone: (337) 412-6825
Fax: (337) 504-4376

The enumeration date for this NPI number is 5/6/2010 and was last updated on 11/3/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	220	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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