Doctor Name: | MRS. MEICHU LIN DUGAS |
NPI Number: | 1023382942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CI 4865 |
Business Practice Address: | 124 S 13th St Bldg 2 Oakdale, LA - 714632935 |
Business Phone Number: | 3182151413 |
Business Fax Number: | 3182151415 |
Mailing Address: | 25293 Tate Rd, KINDER |
State: | LA |
Postal Code: | 706484127 |
Phone Number: | 3375821761 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2012 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CI 4865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |