Provider Demographics
NPI:1659267292
Name:CREDEUR, ISABELLA WREN (MA, PLPC)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:WREN
Last Name:CREDEUR
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 ANTHONY AVE
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-7002
Mailing Address - Country:US
Mailing Address - Phone:337-852-4098
Mailing Address - Fax:
Practice Address - Street 1:926 ANTHONY AVE
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-7002
Practice Address - Country:US
Practice Address - Phone:337-852-4098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health