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Individual

DR. BRIDGET VACHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LPC

Contact information

Practice address
609 METAIRIE RD # 8258, METAIRIE, LA 70005-4034
(504) 952-2079
Mailing address
406 BROCKENBRAUGH CT, METAIRIE, LA 70005-3324
(504) 952-2079

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
4664
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
4664
LA
101YM0800X
Mental Health Counselor
4664
LA
101YP2500X
Professional Counselor
Primary
4664
LA

Other

Enumeration date
09/12/2014
Last updated
03/01/2022
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