Doctor Name: | DESMARIE O'CONNER |
NPI Number: | 1366802191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAC |
License Number: | 1291 |
Business Practice Address: | 2121 Wooddale Blvd Baton Rouge, LA - 70805 |
Business Phone Number: | 2252312490 |
Business Fax Number: | 2252312775 |
Mailing Address: | 2121 Wooddale Blvd, BATON ROUGE |
State: | LA |
Postal Code: | 708061442 |
Phone Number: | 2252312490 |
Fax Number: | 2252312775 |
NPI Enumeration Date: | 03/07/2016 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |