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Heather K Sam

Case Manager/Care Coordinator in Lafayette, LA. Individual provider (NPI-1).

NPI number1013454875
StatusActive
Last updated in NPPESFeb 9, 2021

Details

NPI
1013454875
Entity type
Individual (NPI-1)
Name
Heather K Sam
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2017
Certification date
Feb 9, 2021
Last updated
Feb 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health––

Practice location

2448 Johnston St
Lafayette, LA 70503-2756

Phone 337-233-7250 · Fax 337-233-7104

Mailing address

2448 Johnston St
Lafayette, LA 70503-2756

Phone 337-233-7250 · Fax 337-233-7104

Other practice locations

1615 Johnson St Ste C
Jennings, LA 70546-3650

Phone 337-616-0225

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