Ana Colon

Individual provider Active NPI Mental Health Counselor · Broussard, LA

NPI 1275054512 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1275054512
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
114 Terrace Oak LN
Broussard, LA 70518-7644
Phone
(337) 319-6971
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

114 Terrace Oak LN
Broussard, LA 70518-7644

Mailing address

114 Terrace Oak LN
Broussard, LA 70518-7644
Phone (337) 319-6971

Other providers in Broussard, LA

All providers in Broussard, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.