Individual
KELLY BODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
106 HEMLOCK DR, YOUNGSVILLE, LA 70592-6293
(337) 371-2448
Mailing address
106 HEMLOCK DR, YOUNGSVILLE, LA 70592-6293
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6684
LA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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