Provider Demographics
NPI:1023382942
Name:DUGAS, MEICHU LIN
Entity Type:Individual
Prefix:MRS
First Name:MEICHU
Middle Name:LIN
Last Name:DUGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MEICHU
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25293 TATE RD
Mailing Address - Street 2:
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648-4127
Mailing Address - Country:US
Mailing Address - Phone:337-582-1761
Mailing Address - Fax:
Practice Address - Street 1:124 S 13TH ST
Practice Address - Street 2:BLDG 2
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-2935
Practice Address - Country:US
Practice Address - Phone:318-215-1413
Practice Address - Fax:318-215-1415
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACI 4865101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional