Peter Brian Derouen

NPI #1003338401 in Lafayette, Louisiana

Provider Information

NPI Number: 1003338401
Entity Type: Individual
Name: Peter Brian Derouen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 7, 2017
Last Updated: Jul 7, 2017

Practice Location

Address: 160 INDUSTRIAL PKWY STE 105
City: Lafayette
State: Louisiana
ZIP Code: 70508-8309
Phone: (337) 298-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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