Individual
TANYA M. BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N ACADIA RD, THIBODAUX, LA 70301-5012
(985) 492-5206
Mailing address
136 BLOSSOM CT, THIBODAUX, LA 70301-9424
(985) 209-5193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4554
LA
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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