Doctor Name: | SHAWN VERDIN |
NPI Number: | 1194142810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LAC |
License Number: | 1507 |
Business Practice Address: | 500 Roderick St Suite B Morgan City, LA - 703802247 |
Business Phone Number: | 9853802460 |
Business Fax Number: | 9853802476 |
Mailing Address: | 709 Onstead St, MORGAN CITY |
State: | LA |
Postal Code: | 703802750 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1507 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |