Individual
JOSHONDA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2528 TALBOT AVE, THIBODAUX, LA 70301-9025
(337) 579-3379
Mailing address
215 OLIVIA DR, THIBODAUX, LA 70301-9025
(337) 579-3379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC6161
LA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
07/10/2024
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