Ilyanette Marie Bernabel
Peer Specialist in New Orleans, LA. Individual provider (NPI-1).
NPI number1891510095
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1891510095
- Entity type
- Individual (NPI-1)
- Name
- Ilyanette Marie Bernabel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2024
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | OBHPSS1098 | LA | Yes |
Practice location
719 Elysian Fields AveNew Orleans, LA 70117-8511
Phone 504-620-2564
Mailing address
719 Elysian Fields AveNew Orleans, LA 70117-8511
Phone 504-620-2564
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