Individual provider · Type 1 NPI

Calvary De'rosa Sampson

Mental Health Counselor · Lafayette, LA

NPI number 1487305405 Active

Practice location

1304 Bertrand Dr Ste E3
Lafayette, LA 70506-9105

Call (337) 221-0287 Map

Fax (884) 364-1683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPLC8073 (LA)
Mental Health Counselor Primary 101YM0800X8073 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1487305405

Calvary De'rosa Sampson's National Provider Identifier is 1487305405, issued on Jan 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Jan 31, 2022.