Individual provider · NPI-1

Carissa Breaux

Social Worker, Clinical · Crowley, LA

NPI number1326805532
StatusActive
Last updated in NPPESNov 19, 2024

Details

NPI
1326805532
Entity type
Individual (NPI-1)
Name
Carissa Breaux
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2024
Certification date
Nov 19, 2024
Last updated
Nov 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical16439LAYes
171M00000X Case Manager/Care Coordinator16439LA

Practice location

1822 W 2nd St
Crowley, LA 70526-4720

Phone 337-788-7511 · Fax 337-262-4160

Mailing address

1822 W 2nd St
Crowley, LA 70526-4720

Phone 337-788-7511 · Fax 337-262-4160

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