Individual
DANA BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
197 JOLIE OAKS BLVD 197 JOLIE OAKS BLVD, THIBODAUX, LA 70301
(985) 413-2076
Mailing address
197 JOLIE OAKS BLVD, THIBODAUX, LA 70301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7260
LA
101YS0200X
School Counselor
—
LA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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