Provider Demographics
NPI:1932236734
Name:DUGAS, CHRISTINE SNELL (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:SNELL
Last Name:DUGAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ASCOT LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4048
Mailing Address - Country:US
Mailing Address - Phone:337-264-9855
Mailing Address - Fax:337-236-8606
Practice Address - Street 1:130 RUE BEAUREGARD
Practice Address - Street 2:SUITE B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3130
Practice Address - Country:US
Practice Address - Phone:337-264-9855
Practice Address - Fax:337-236-8606
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical