| Scr | |
|
221 Rue De Jean Ste 136 Lafayette LA 70508-3283 | |
| (337) 943-0685 | |
| Not Available |
| Full Name | Scr |
|---|---|
| Speciality | Counselor - Professional |
| Location | 221 Rue De Jean Ste 136, Lafayette, Louisiana |
| Authorized Official Name and Position | Keyonia Iglus (OWNER/LICENSED PROFESSIONAL) |
| Authorized Official Contact | 3379430685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scr 204 Lafayette St Lafayette LA 70501-4712 Ph: (469) 720-9853 | Scr 221 Rue De Jean Ste 136 Lafayette LA 70508-3283 Ph: (337) 943-0685 |
| NPI Number | 1457193849 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457193849 | NPI | - | NPPES |
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