Individual provider · Type 1 NPI
Peter Brian Derouen
Counselor · Lafayette, LA
NPI number
1003338401
Active
Practice location
160 Industrial Pkwy Ste 105
Lafayette, LA 70508-8309
Mailing address
PO Box 61592
Lafayette, LA 70596-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1003338401
Peter Brian Derouen's National Provider Identifier is 1003338401, issued on Jul 7, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 7, 2017.