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Provider Information for 1508170317


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Mrs. DARLENE ALBERTA GOINES LPC


Sex: Female

NPI: 1508170317
Last Updated: 2013-08-20
Certification Date:

Details

NameValue
NPI1508170317
Enumeration Date2010-08-04
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5001 WESTBANK EXPY
MARRERO, LA 70072-2954
United States

Phone: 504-444-3003 | Fax:
 
Primary Practice Address 5001 WESTBANK EXPY
MARRERO, LA 70072-2954
United States

Phone: 504-444-3003 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthLA4048