Graduated: 2015
NPI: 1184071243
Practice Locations (2)
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
106 W PORT, IMCAL HSA BEHAVIORAL HEALTH BEAU
DERIDDER, LA 706344040
3374621641
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
145 HOSPITAL DR
OAKDALE, LA 714633034
3376393001
Source: CMS National Downloadable File, September 2026.