Provider Demographics
NPI:1063857191
Name:DAUGEREAU, ROBIN CLAIRE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:CLAIRE
Last Name:DAUGEREAU
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Gender:F
Credentials:MA, LPC
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Mailing Address - Street 1:1202 KIRKMAN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5391
Mailing Address - Country:US
Mailing Address - Phone:337-990-5571
Mailing Address - Fax:855-239-9737
Practice Address - Street 1:1202 KIRKMAN ST
Practice Address - Street 2:SUITE A
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5391
Practice Address - Country:US
Practice Address - Phone:337-990-5571
Practice Address - Fax:855-239-9737
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA4894101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional