Individual
MS. DENISE AMIE THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LPC, LAC
Contact information
Practice address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 300-4850
Mailing address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 330-9328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 4943
LA
101YP2500X
Professional Counselor
Primary
LPC 4943
LA
Other
Enumeration date
04/16/2012
Last updated
09/16/2022
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