Individual
MRS. NIKKI FANGUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
504 FUNDERBURK AVE, HOUMA, LA 70364-1821
(985) 791-4387
Mailing address
504 FUNDERBURK AVE, HOUMA, LA 70364-1821
(985) 791-4387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4648
LA
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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