Individual
MRS. RAE B FALGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, PLPC, LAC
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 337-0984
Mailing address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 337-0984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-5093
LA
101YM0800X
Mental Health Counselor
Primary
8454
LA
Other
Enumeration date
02/18/2021
Last updated
07/13/2021
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