Individual provider · Type 1 NPI

Colin Brea Theriot Hanover, M.ED., NCC, LPC

Mental Health Counselor · Lafayette, LA

NPI number 1598376907 Active

Practice location

850 Kaliste Saloom Rd Ste 219
Lafayette, LA 70508-4230

Call (337) 504-4974 Map

Fax (337) 456-2434

Mailing address

31301 La Hwy 3143
Gueydan, LA 70542-5652

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6468 (LA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1598376907

Colin Brea Theriot Hanover, M.ED., NCC, LPC's National Provider Identifier is 1598376907, issued on Aug 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Sep 8, 2022.