Provider Demographics
NPI:1881067445
Name:ALBARADO, MONIQUE
Entity type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:
Last Name:ALBARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BULL RUN RD
Mailing Address - Street 2:
Mailing Address - City:SCHRIEVER
Mailing Address - State:LA
Mailing Address - Zip Code:70395-3210
Mailing Address - Country:US
Mailing Address - Phone:985-872-5529
Mailing Address - Fax:985-857-8270
Practice Address - Street 1:600 BULL RUN RD
Practice Address - Street 2:
Practice Address - City:SCHRIEVER
Practice Address - State:LA
Practice Address - Zip Code:70395-3210
Practice Address - Country:US
Practice Address - Phone:985-872-5529
Practice Address - Fax:985-857-8270
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional