Provider Demographics
NPI:1477184539
Name:CUTRERA, DAVID LOUIS (MS LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LOUIS
Last Name:CUTRERA
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S BEAU PRE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4308
Mailing Address - Country:US
Mailing Address - Phone:337-412-4041
Mailing Address - Fax:
Practice Address - Street 1:917 GENERAL MOUTON AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-8511
Practice Address - Country:US
Practice Address - Phone:337-412-4041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4933101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health