Provider Demographics
NPI:1811361769
Name:CADOR, DORES (RSW)
Entity Type:Individual
Prefix:
First Name:DORES
Middle Name:
Last Name:CADOR
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13888 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-4929
Mailing Address - Country:US
Mailing Address - Phone:225-636-2638
Mailing Address - Fax:225-778-5068
Practice Address - Street 1:13888 PLANK RD
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-4929
Practice Address - Country:US
Practice Address - Phone:225-636-2638
Practice Address - Fax:225-778-5068
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health