Most Relevant Information
Provider Data
| NPI Number: | 1003369885 |
| Provider Name: | COURTNEY E ROQUEMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2016 |
| Last Updated: | 07/26/2018 |
Provider Practice Location
9262 HIGHWAY 120
ROBELINE
LA
71469
Practice Location Phone/Fax
| Phone: | 3186631882 |
| Fax: |
Provider Mailing Location
9262 HIGHWAY 120
ROBELINE
LA
714694302
Provider Mailing Phone/Fax
| Phone: | 3186631882 |
| Fax: |