Doctor Name: | MRS. DANA DUET-CHAMPAGNE |
NPI Number: | 1700137593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | 4726 |
Business Practice Address: | 633 Asbury Dr Ste A Mandeville, LA - 704716511 |
Business Phone Number: | 9856242942 |
Business Fax Number: | |
Mailing Address: | 633 Asbury Dr Ste A, MANDEVILLE |
State: | LA |
Postal Code: | 704716511 |
Phone Number: | 9856242942 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2012 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |